Physician

Edgar Wilson Kirby, M.D.

According to 2025 Medicare claims, Edgar Kirby, M.D. (NPI: 1326332024) practices urology in the Wilmington, NC market, with the plurality of this provider's patient population coming from New Hanover, NC. This provider's primary affiliated billing organization is UROLOGY ASSOCIATES OF SOUTHEASTERN NORTH CAROLINA, PA (NPI: 1407875610; TIN: 561274107) and primary practice location at 28403-6024. Kirby is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Kirby's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 927 traditional Medicare patients, billed 32,603 HCPCS/CPT codes, and received $726,378 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,775 prescription claims across 425 beneficiaries totaling $1,736,363 in drug costs, led by Xtandi (Enzalutamide). DME data shows 61 claims. Open Payments data shows 112 records totaling $2,648. 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 sharply higher in recent years, from $49,206 to $726,378. Similarly, Part D prescription costs have moved sharply higher in recent years, from $6,371 to $1,736,363. 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	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	147	2,325	$49,206
2018	394	5,525	$148,518
2019	488	10,051	$263,548
2020	511	15,025	$324,993
2021	666	20,853	$560,168
2022	867	28,556	$566,565
2023	941	34,792	$620,991
2024	927	32,603	$726,378

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	47	79	$6,371
2016	24	51	$7,388
2017	57	155	$7,791
2018	125	435	$32,923
2019	157	502	$41,264
2020	170	612	$109,735
2021	251	850	$448,948
2022	309	1,146	$814,450
2023	385	1,419	$1,385,628
2024	425	1,775	$1,736,363

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	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	30	$14,796
2020	N/R	41	$20,562
2021	N/R	36	$18,010
2022	N/R	22	$3,945
2023	N/R	47	$20,300
2024	N/R	61	$32,966

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	673	1,045	$85
84153	Psa (prostate specific antigen) measurement, total	303	457	$18
36415	Insertion of needle into vein for collection of blood sample	323	501	$8
51798	Ultrasound measurement of bladder capacity after voiding	211	295	$8
81002	Urinalysis, manual test	682	1,051	$3

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xtandi	Enzalutamide	82	2,460	$1,080,987
Xiaflex	Collagenase Clostridium Hist.	15	486	$192,447
Nubeqa	Darolutamide	12	360	$163,716
Orgovyx	Relugolix	36	1,080	$91,584
Gemtesa	Vibegron	78	5,147	$81,649

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	30	$24,882
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	31	$8,084

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	112	$2,648	Dendreon Pharmaceuticals LLC
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 Edgar Wilson Kirby, M.D.?

Tedicare shows public-source Medicare data for Edgar Wilson Kirby, M.D. (NPI 1326332024), 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 Edgar Wilson Kirby, M.D. have ACO affiliation data?

Edgar Wilson Kirby, M.D. is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Edgar Wilson Kirby, M.D.?

Edgar Wilson Kirby, M.D. is linked to UROLOGY ASSOCIATES OF SOUTHEASTERN NORTH CAROLINA, PA (billing NPI 1407875610) in the available physician profile data.

Does Edgar Wilson Kirby, M.D. have Open Payments data?

Edgar Wilson Kirby, M.D. has 112 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.