Physician

Edward Ray Hernandez, MD

According to 2025 Medicare claims, Edward Hernandez, MD (NPI: 1568406619) practices diagnostic radiology in the Hammond, LA market, with the plurality of this provider's patient population coming from Tangipahoa, LA. This provider's primary affiliated billing organization is NORTH OAKS MEDICAL CENTER, LLC (NPI: 1164785648; TIN: 451834769) and primary practice location at 70403-1434. Hernandez is affiliated with the OptumCare ACO West (ACO ID: A5058), participating under the MSSP model.

Hernandez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,333 traditional Medicare patients, billed 4,426 HCPCS/CPT codes, and received $97,251 in Medicare payments. The top billing code was 77067 (Screening mammography). Part D data shows 30 prescription claims across 28 beneficiaries totaling $156 in drug costs, led by Methylprednisolone (Methylprednisolone). Open Payments data shows 7 records totaling $321. 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 $153,311 to $97,251. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $407 and ending at $156. 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$77K$153K2015 Medicare payment: $153,311 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $109,521 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $99,733 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $138,141 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $142,853 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $135,706 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $106,551 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $95,164 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $93,742 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $97,251 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154,1238,749$153,311
20163,3426,108$109,521
20173,1025,231$99,733
20183,7807,162$138,141
20193,3296,325$142,853
20202,7895,161$135,706
20212,3474,191$106,551
20222,1463,907$95,164
20232,2584,222$93,742
20242,3334,426$97,251

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$714$1.4K2015 Drug cost: $407 (USD; Tot_Drug_Cst)2016 Drug cost: $156 (USD; Tot_Drug_Cst)2017 Drug cost: $214 (USD; Tot_Drug_Cst)2018 Drug cost: $1,428 (USD; Tot_Drug_Cst)2020 Drug cost: $353 (USD; Tot_Drug_Cst)2024 Drug cost: $156 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151520$407
2016N/R12$156
20171315$214
2018N/R15$1,428
2019N/RN/RN/R
2020N/R14$353
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
20242830$156

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
77067Screening mammography541541$33
70450Ct scan head or brain without contrast187200$27
77063Screening 3d breast mammography541543$26
76770Complete ultrasound scan behind abdominal cavity186193$23
71045X-ray of chest, 1 view459548$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MethylprednisoloneMethylprednisolone2534$149

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.7$321Merit Medical Systems Inc
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 Ray Hernandez, MD?

Tedicare shows public-source Medicare data for Edward Ray Hernandez, MD (NPI 1568406619), 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 Ray Hernandez, MD have ACO affiliation data?

Edward Ray Hernandez, MD is shown with ACO affiliation data for OptumCare ACO West (MSSP, ACO ID A5058).

What billing organization is linked to Edward Ray Hernandez, MD?

Edward Ray Hernandez, MD is linked to NORTH OAKS MEDICAL CENTER, LLC (billing NPI 1164785648) in the available physician profile data.

Does Edward Ray Hernandez, MD have Open Payments data?

Edward Ray Hernandez, MD has 7 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.