Physician

Edward Heres

According to 2025 Medicare claims, Edward Heres (NPI: 1407829229) practices pain management in the Pittsburgh, PA market, with the plurality of this provider's patient population coming from Allegheny, PA. This provider's primary affiliated billing organization is UNIVERSITY OF PITTSBURGH PHYSICIANS (NPI: 1033125455; TIN: 232919472) and primary practice location at 15237-5815.

Heres' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 354 traditional Medicare patients, billed 922 HCPCS/CPT codes, and received $58,461 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 1,864 prescription claims across 384 beneficiaries totaling $54,351 in drug costs, led by Gabapentin (Gabapentin). 2017 DME data shows 16 claims. Open Payments data shows 11 records totaling $590. 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 fallen sharply in recent years, from $156,982 to $58,461. Similarly, Part D prescription costs have fallen sharply in recent years, from $239,483 to $54,351. 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$79K$159K2015 Medicare payment: $156,982 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $154,200 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $153,436 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $158,507 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $149,560 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $112,873 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $113,961 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $85,117 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $66,362 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $58,461 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157872,856$156,982
20168282,794$154,200
20178522,629$153,436
20188312,733$158,507
20198332,555$149,560
20206511,888$112,873
20216131,738$113,961
20225041,336$85,117
20233731,012$66,362
2024354922$58,461

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$155K$311K2015 Drug cost: $239,483 (USD; Tot_Drug_Cst)2016 Drug cost: $251,451 (USD; Tot_Drug_Cst)2017 Drug cost: $310,548 (USD; Tot_Drug_Cst)2018 Drug cost: $266,342 (USD; Tot_Drug_Cst)2019 Drug cost: $187,489 (USD; Tot_Drug_Cst)2020 Drug cost: $174,887 (USD; Tot_Drug_Cst)2021 Drug cost: $184,320 (USD; Tot_Drug_Cst)2022 Drug cost: $138,053 (USD; Tot_Drug_Cst)2023 Drug cost: $200,128 (USD; Tot_Drug_Cst)2024 Drug cost: $54,351 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20156923,305$239,483
20167053,541$251,451
20177663,566$310,548
20187923,710$266,342
20197563,376$187,489
20206693,275$174,887
20216393,113$184,320
20225312,736$138,053
20234382,225$200,128
20243841,864$54,351

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$302$6032015 Medicare payment: $603 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $82 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20151222$603
2016N/RN/RN/R
2017N/R16$82
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more133133$92
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6868$69
62323Injection of substance into lower spine canal using imaging guidance184235$67
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance2330$60
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more178261$46

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
GabapentinGabapentin1,12240,432$13,526
CelecoxibCelecoxib1505,965$2,261
PregabalinPregabalin261,080$952
Duloxetine HclDuloxetine Hcl692,850$911
LidocaineLidocaine15435$597

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.11$590Abbott Laboratories
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Edward Heres?

Tedicare shows public-source Medicare data for Edward Heres (NPI 1407829229), 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 Heres have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Edward Heres?

Edward Heres is linked to UNIVERSITY OF PITTSBURGH PHYSICIANS (billing NPI 1033125455) in the available physician profile data.

Does Edward Heres have Open Payments data?

Edward Heres has 11 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.