Physician

Charles S Edenfield, M.D.

According to 2025 Medicare claims, Charles Edenfield, M.D. (NPI: 1467492785) practices pulmonary disease in the Warner Robins, GA market, with the plurality of this provider's patient population coming from Houston, GA. This provider's primary affiliated billing organization is MIDDLE GEORGIA MEDICAL ASSOCIATES, P.C. (NPI: 1992751911; TIN: 58-2319012) and primary practice location at 31088-9094. Edenfield is affiliated with the TC2, LLC (ACO ID: A3365), participating under the MSSP model.

Edenfield's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 542 traditional Medicare patients, billed 4,260 HCPCS/CPT codes, and received $226,005 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 4,809 prescription claims across 354 beneficiaries totaling $594,037 in drug costs, led by Jardiance (Empagliflozin). DME data shows 957 claims. Open Payments data shows 40 records totaling $919. 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 changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $197,515 to $594,037. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $55,309 and ending at $44,860.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	787	4,722	$257,608
2016	596	4,566	$249,432
2017	587	4,592	$252,033
2018	618	5,140	$293,786
2019	620	4,802	$276,653
2020	665	4,465	$229,504
2021	523	3,622	$210,776
2022	502	4,097	$222,684
2023	524	3,908	$223,972
2024	542	4,260	$226,005

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	149	2,172	$197,515
2016	147	2,012	$168,199
2017	157	1,916	$178,486
2018	151	1,860	$192,399
2019	157	1,615	$199,541
2020	162	1,479	$191,475
2021	139	945	$152,829
2022	115	758	$123,457
2023	227	2,523	$359,830
2024	354	4,809	$594,037

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	266	1,069	$53,648
2016	157	870	$33,189
2017	156	673	$39,112
2018	130	636	$35,395
2019	148	503	$24,815
2020	205	747	$31,025
2021	176	648	$36,335
2022	109	454	$26,008
2023	198	694	$39,930
2024	265	957	$45,399

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	351	351	$119
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	344	819	$83
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	370	928	$57
G0444	Annual depression screening, 5 to 15 minutes	343	343	$17
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	103	107	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	74	3,480	$59,565
Ozempic	Semaglutide	42	1,624	$50,959
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	51	2,130	$46,220
Eliquis	Apixaban	45	1,635	$30,812
Trulicity	Dulaglutide	16	786	$26,976

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	15	110	$8,538
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	15	$7,655
A7031	Face mask interface, replacement for full face mask, each	N	20	50	$4,192
A7030	Full face mask used with positive airway pressure device, each	N	20	52	$3,872
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	35	82	$2,867

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	40	$919	AstraZeneca Pharmaceuticals LP
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 Charles S. Edenfield, M.D.?

Tedicare shows public-source Medicare data for Charles S. Edenfield, M.D. (NPI 1467492785), 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 Charles S. Edenfield, M.D. have ACO affiliation data?

Charles S. Edenfield, M.D. is shown with ACO affiliation data for TC2, LLC (MSSP, ACO ID A3365).

What billing organization is linked to Charles S. Edenfield, M.D.?

Charles S. Edenfield, M.D. is linked to MIDDLE GEORGIA MEDICAL ASSOCIATES, P.C. (billing NPI 1992751911) in the available physician profile data.

Does Charles S. Edenfield, M.D. have Open Payments data?

Charles S. Edenfield, M.D. has 40 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.