Physician

Edward John Fricker, MD

According to 2025 Medicare claims, Edward Fricker, MD (NPI: 1316933823) practices gastroenterology in the Valdosta, GA market, with the plurality of this provider's patient population coming from Lowndes, GA. This provider's primary affiliated billing organization is SOUTHWELL AMBULATORY INC (NPI: 1164069472; TIN: 84-3430446) and primary practice location at 31602-6866. Fricker is affiliated with the Privia Quality Network of Georgia (ACO ID: A3236) and Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Fricker's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 893 traditional Medicare patients, billed 1,970 HCPCS/CPT codes, and received $144,636 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 3,510 prescription claims across 903 beneficiaries totaling $622,766 in drug costs, led by Linzess (Linaclotide). 2015 DME data shows 56 claims. Open Payments data shows 47 records totaling $1,095. 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 $178,111 and ending at $144,636. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $497,841 and ending at $622,766. 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.

Year	Patients	Clm Lines	Payment
2015	869	2,631	$178,111
2016	871	2,970	$213,358
2017	984	4,045	$272,534
2018	1,081	4,367	$245,642
2019	1,041	4,023	$229,500
2020	856	2,169	$159,920
2021	1,013	2,682	$217,069
2022	1,018	2,460	$191,701
2023	963	2,248	$166,326
2024	893	1,970	$144,636

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	590	2,699	$497,841
2016	630	2,680	$494,044
2017	675	2,669	$718,842
2018	762	2,625	$913,398
2019	791	2,623	$634,090
2020	729	2,468	$538,761
2021	824	2,952	$552,306
2022	905	3,221	$456,006
2023	884	3,140	$476,164
2024	903	3,510	$622,766

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	56	$13,302
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
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
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	117	118	$197
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	307	371	$83
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	456	569	$58
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	156	159	$51
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	245	254	$4

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Linzess	Linaclotide	124	5,520	$97,788
Creon	Lipase/Protease/Amylase	48	1,573	$92,302
Viberzi	Eluxadoline	22	780	$43,085
Sutab	Sod Sulf/Pot Chloride/Mag Sulf	201	307	$32,890
Dexlansoprazole Dr	Dexlansoprazole	88	4,759	$23,514

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.	47	$1,095	ABBVIE 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 Edward John Fricker, MD?

Tedicare shows public-source Medicare data for Edward John Fricker, MD (NPI 1316933823), 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 Edward John Fricker, MD have ACO affiliation data?

Edward John Fricker, MD is shown with ACO affiliation data for Privia Quality Network of Georgia (MSSP, ACO ID A3236) and Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

What billing organization is linked to Edward John Fricker, MD?

Edward John Fricker, MD is linked to SOUTHWELL AMBULATORY INC (billing NPI 1164069472) in the available physician profile data.

Does Edward John Fricker, MD have Open Payments data?

Edward John Fricker, MD has 47 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.