Physician

Michael Edmunds

According to 2025 Medicare claims, Michael Edmunds (NPI: 1538150131) practices orthopedic surgery in the Carson City, NV market, with the plurality of this provider's patient population coming from Carson City, NV. This provider's primary affiliated billing organization is JAMES J LYNCH MD LTD (NPI: 1285649608; TIN: 270028866) and primary practice location at 89705-7258.

Edmunds' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 803 traditional Medicare patients, billed 6,301 HCPCS/CPT codes, and received $325,519 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 241 prescription claims across 159 beneficiaries totaling $2,257 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 96 claims. Open Payments data shows 1 records totaling $20. 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 $517,909 to $325,519. Similarly, Part D prescription costs have declined steadily, from $14,655 to $2,257. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $40,285 and ending at $23,266.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,123	6,526	$517,909
2016	1,384	7,112	$621,817
2017	1,431	6,260	$610,334
2018	1,517	9,035	$601,792
2019	1,382	10,215	$612,227
2020	1,177	9,313	$483,022
2021	1,138	14,154	$623,749
2022	949	10,242	$483,368
2023	762	6,867	$360,626
2024	803	6,301	$325,519

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	242	616	$14,655
2016	289	697	$14,948
2017	292	618	$16,546
2018	218	425	$11,576
2019	226	459	$12,082
2020	188	365	$4,401
2021	162	254	$2,055
2022	103	187	$5,324
2023	165	283	$3,072
2024	159	241	$2,257

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	216	351	$47,467
2016	195	240	$31,578
2017	189	214	$31,124
2018	174	176	$30,172
2019	182	182	$40,029
2020	136	137	$34,005
2021	140	143	$24,883
2022	142	145	$34,027
2023	94	94	$24,146
2024	95	96	$25,645

* / # = 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	344	418	$91
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	409	603	$64
20610	Aspiration and/or injection of fluid from large joint	218	335	$45
73564	X-ray of knee, 4 or more views	256	323	$34
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	199	1,078	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	36	254	$267
Diclofenac Sodium	Diclofenac Sodium	13	313	$149
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	17	113	$148
Naproxen	Naproxen	16	510	$94
Gabapentin	Gabapentin	15	198	$89

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
E0935	Continuous passive motion exercise device for use on knee only	Y	56	57	$22,436
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	N	14	14	$1,719
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	N	14	14	$809
E0143	Walker, folding, wheeled, adjustable or fixed height	N	11	11	$681

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$20	Smith+Nephew, 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 Michael Edmunds?

Tedicare shows public-source Medicare data for Michael Edmunds (NPI 1538150131), 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 Michael Edmunds have ACO affiliation data?

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

What billing organization is linked to Michael Edmunds?

Michael Edmunds is linked to JAMES J LYNCH MD LTD (billing NPI 1285649608) in the available physician profile data.

Does Michael Edmunds have Open Payments data?

Michael Edmunds 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.