Physician

Edward Lake, MD

According to 2025 Medicare claims, Edward Lake, MD (NPI: 1336131101) practices nephrology in the Oshkosh-Neenah, WI market, with the plurality of this provider's patient population coming from Winnebago, WI. This provider's primary affiliated billing organization is AURORA MEDICAL GROUP, INC. (NPI: 1427271378; TIN: 391678306) and primary practice location at 54904-7668. Lake is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033), THEDACARE ACO (ACO ID: A4988), and Accountable Care Organization of Advocate Aurora Health, LLC (ACO ID: D0260), participating under both the MSSP and REACH models.

Lake's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 127 traditional Medicare patients, billed 4,424 HCPCS/CPT codes, and received $86,770 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 2,195 prescription claims across 305 beneficiaries totaling $254,021 in drug costs, led by Xphozah (Tenapanor Hcl). 2022 DME data shows 33 claims. Open Payments data shows 1 records totaling $35. 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 declined steadily, from $178,919 to $86,770. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $461,440 to $254,021. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $3,741 to $388.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	358	11,764	$178,919
2016	341	7,732	$157,859
2017	337	6,424	$141,239
2018	314	5,280	$121,536
2019	283	3,960	$115,075
2020	240	4,798	$88,446
2021	192	8,217	$124,089
2022	134	8,456	$95,575
2023	161	7,087	$99,018
2024	127	4,424	$86,770

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	306	3,154	$461,440
2016	309	2,989	$549,208
2017	325	2,753	$501,539
2018	299	2,524	$235,351
2019	350	2,135	$177,111
2020	380	2,258	$170,453
2021	406	2,504	$167,771
2022	295	1,822	$163,228
2023	298	1,997	$199,755
2024	305	2,195	$254,021

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	12	85	$4,194
2016	N/R	89	$5,897
2017	N/R	26	$352
2018	N/R	16	$209
2019	N/R	13	$130
2020	N/R	12	$159
2021	N/R	98	$5,909
2022	N/R	33	$3,108
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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	35	$127
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	77	$124
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	42	120	$87
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	30	33	$24
81000	Manual urinalysis test with examination using microscope, non-automated	62	73	$4

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xphozah	Tenapanor Hcl	19	840	$82,927
Jardiance	Empagliflozin	15	1,070	$18,057
Sevelamer Carbonate	Sevelamer Carbonate	37	1,987	$12,538
Cinacalcet Hcl	Cinacalcet Hcl	38	1,881	$8,356
Calcitriol	Calcitriol	332	23,810	$8,005

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.	1	$35	Ardelyx, 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 Lake, MD?

Tedicare shows public-source Medicare data for Edward Lake, MD (NPI 1336131101), 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 Lake, MD have ACO affiliation data?

Edward Lake, MD is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033), THEDACARE ACO (MSSP, ACO ID A4988), and Accountable Care Organization of Advocate Aurora Health, LLC (REACH, ACO ID D0260).

What billing organization is linked to Edward Lake, MD?

Edward Lake, MD is linked to AURORA MEDICAL GROUP, INC. (billing NPI 1427271378) in the available physician profile data.

Does Edward Lake, MD have Open Payments data?

Edward Lake, MD has 1 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.