Physician

Colin Clark Edgerton, MD

According to 2025 Medicare claims, Colin Edgerton, MD (NPI: 1245307578) practices rheumatology in the Charleston-North Charleston, SC market, with the plurality of this provider's patient population coming from Berkeley, SC. This provider's primary affiliated billing organization is ARTICULARIS HEALTHCARE GROUP INC. (NPI: 1083696413; TIN: 571099718) and primary practice location at 29486-7887. Edgerton is affiliated with the Southeastern Health Partners (ACO ID: A3325), participating under the MSSP model.

Edgerton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 732 traditional Medicare patients, billed 179,915 HCPCS/CPT codes, and received $2,686,453 in Medicare payments. The top billing code was 96413 (Administration of chemotherapy into vein, 1 hour or less). Part D data shows 1,378 prescription claims across 345 beneficiaries totaling $1,297,605 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 133 records totaling $1,510,872. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a lower plateau to a higher plateau, from $703,522 to $2,686,453. Similarly, Part D prescription costs have moved sharply higher in recent years, from $252,679 to $1,297,605. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$1.3M$2.7M2015 Medicare payment: $703,522 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $935,710 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,109,469 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,358,107 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,856,343 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,034,384 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,301,527 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,553,117 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,402,717 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,686,453 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201546082,245$703,522
201648677,923$935,710
201755379,193$1,109,469
201861781,906$1,358,107
201971599,557$1,856,343
202053163,390$1,034,384
202164173,747$1,301,527
202269296,213$1,553,117
2023701149,124$2,402,717
2024732179,915$2,686,453

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$649K$1.3M2015 Drug cost: $252,679 (USD; Tot_Drug_Cst)2016 Drug cost: $491,078 (USD; Tot_Drug_Cst)2017 Drug cost: $578,280 (USD; Tot_Drug_Cst)2018 Drug cost: $617,230 (USD; Tot_Drug_Cst)2019 Drug cost: $688,482 (USD; Tot_Drug_Cst)2020 Drug cost: $375,895 (USD; Tot_Drug_Cst)2021 Drug cost: $418,178 (USD; Tot_Drug_Cst)2022 Drug cost: $1,294,496 (USD; Tot_Drug_Cst)2023 Drug cost: $710,331 (USD; Tot_Drug_Cst)2024 Drug cost: $1,297,605 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152151,369$252,679
20162181,714$491,078
20172202,012$578,280
20182321,842$617,230
20192821,743$688,482
20202951,114$375,895
20212861,063$418,178
20223351,776$1,294,496
20232911,161$710,331
20243451,378$1,297,605

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
96413Administration of chemotherapy into vein, 1 hour or less347866$96
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more262408$91
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's228339$13
80053Blood test, comprehensive group of blood chemicals171241$10
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count162231$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab33980$413,574
TavneosAvacopan11330$184,915
RinvoqUpadacitinib13510$111,854
Cimzia (2 Pack)Certolizumab Pegol12336$91,680
Hydroxychloroquine SulfateHydroxychloroquine Sulfate14010,705$8,186

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.131$1,510,483American Rheumatology Network, LLC
Research PaymentsReported research-related payment or transfer-of-value amount.1$389ABBVIE INC.
Ownership / Investment InterestsReported value of ownership or investment interests.1$1,600,000American Rheumatology Network, LLC

FAQ

What Medicare data is available for Colin Clark Edgerton, MD?

Tedicare shows public-source Medicare data for Colin Clark Edgerton, MD (NPI 1245307578), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Colin Clark Edgerton, MD have ACO affiliation data?

Colin Clark Edgerton, MD is shown with ACO affiliation data for Southeastern Health Partners (MSSP, ACO ID A3325).

What billing organization is linked to Colin Clark Edgerton, MD?

Colin Clark Edgerton, MD is linked to ARTICULARIS HEALTHCARE GROUP INC. (billing NPI 1083696413) in the available physician profile data.

Does Colin Clark Edgerton, MD have Open Payments data?

Colin Clark Edgerton, MD has 133 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.