Physician

Rickie Lloyd Edgar, M.D.

According to 2025 Medicare claims, Rickie Edgar, M.D. (NPI: 1275748212) practices neurosurgery in the Muskegon-Norton Shores, MI market, with the plurality of this provider's patient population coming from Muskegon, MI. This provider's primary affiliated billing organization is MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST (NPI: 1922248772; TIN: 264312435) and primary practice location at 49444-1849. Edgar is affiliated with the Trinity Health Integrated Care (ACO ID: A3454) and West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Edgar's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 127 traditional Medicare patients, billed 375 HCPCS/CPT codes, and received $107,131 in Medicare payments. The top billing code was 63047 (Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment). Part D data shows 297 prescription claims across 133 beneficiaries totaling $2,659 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). 2019 DME data shows 14 claims. Open Payments data shows 7 records totaling $2,480. 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 up and down with repeated peaks and valleys, starting at $131,496 and ending at $107,131. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $37,941 to $2,659. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $12,224 and ending at $35,706.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	252	624	$131,496
2016	229	614	$148,604
2017	279	762	$175,560
2018	338	944	$251,290
2019	331	937	$268,697
2020	177	536	$180,605
2021	178	487	$138,411
2022	168	362	$100,234
2023	147	425	$129,611
2024	127	375	$107,131

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	123	514	$37,941
2016	102	256	$8,256
2017	89	218	$11,891
2018	145	328	$21,413
2019	135	277	$13,352
2020	68	150	$10,363
2021	94	235	$8,569
2022	141	392	$13,049
2023	130	410	$14,196
2024	133	297	$2,659

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	14	14	$44,553
2018	25	52	$86,812
2019	N/R	14	$372
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
63047	Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment	13	13	$701
22853	Insertion of cage or mesh device to spine bone and disc space during spine fusion	21	40	$190
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$92
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	67	$71
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	24	31	$46

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	78	623	$303
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	35	230	$122
Gabapentin	Gabapentin	15	510	$121
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	44	560	$109
Pregabalin	Pregabalin	15	450	$107

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	7	$2,480	Alphatec Spine, Inc
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Rickie Lloyd Edgar, M.D.?

Tedicare shows public-source Medicare data for Rickie Lloyd Edgar, M.D. (NPI 1275748212), 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 Rickie Lloyd Edgar, M.D. have ACO affiliation data?

Rickie Lloyd Edgar, M.D. is shown with ACO affiliation data for Trinity Health Integrated Care (MSSP, ACO ID A3454) and West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626).

What billing organization is linked to Rickie Lloyd Edgar, M.D.?

Rickie Lloyd Edgar, M.D. is linked to MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST (billing NPI 1922248772) in the available physician profile data.

Does Rickie Lloyd Edgar, M.D. have Open Payments data?

Rickie Lloyd Edgar, M.D. has 7 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.