Physician

Edward J Prince, M.D

According to 2025 Medicare claims, Edward Prince, M.D (NPI: 1659306975) practices orthopedic surgery in the St. George, UT market, with the plurality of this provider's patient population coming from Washington, UT. This provider's primary affiliated billing organization is REVERE HEALTH PC (NPI: 1093764805; TIN: 870281028) and primary practice location at 84790-9998. Prince is affiliated with the Aledade 201 National MSSP (ACO ID: A5522) and Revere Health Collaborative Network, LLC (ACO ID: D0042), participating under both the MSSP and REACH models.

Prince's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 666 traditional Medicare patients, billed 4,926 HCPCS/CPT codes, and received $376,593 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 275 prescription claims across 156 beneficiaries totaling $3,715 in drug costs, led by Celecoxib (Celecoxib). DME data shows 114 claims. Open Payments data shows 8 records totaling $427. 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 started with an early spike, then settled into a lower baseline, moving from $13,361 to $3,715. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $8,311 and ending at $5,123.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	836	7,952	$452,795
2016	893	8,819	$509,586
2017	912	8,040	$502,198
2018	908	7,056	$497,495
2019	892	6,728	$513,523
2020	802	6,802	$435,917
2021	802	6,824	$447,413
2022	776	6,347	$437,618
2023	731	5,772	$404,093
2024	666	4,926	$376,593

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	217	420	$13,361
2016	239	450	$11,237
2017	234	420	$10,607
2018	194	316	$11,856
2019	196	347	$3,965
2020	249	424	$5,197
2021	248	421	$7,514
2022	182	260	$4,071
2023	147	225	$3,701
2024	156	275	$3,715

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	47	88	$8,274
2016	93	112	$7,616
2017	61	93	$5,082
2018	39	82	$5,977
2019	35	60	$6,951
2020	196	230	$92,080
2021	92	119	$28,458
2022	112	112	$28,665
2023	126	150	$39,903
2024	100	114	$26,414

* / # = 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	226	272	$87
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	244	314	$60
73562	X-ray of knee, 3 views	201	246	$28
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	216	247	$12
36415	Insertion of needle into vein for collection of blood sample	197	228	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Celecoxib	Celecoxib	87	4,482	$1,679
Duloxetine Hcl	Duloxetine Hcl	19	750	$210
Oxycodone Hcl	Oxycodone Hcl	31	188	$188
Diclofenac Sodium	Diclofenac Sodium	12	375	$169
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	11	73	$147

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
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	N	60	62	$23,298
E0143	Walker, folding, wheeled, adjustable or fixed height	N	40	40	$1,930
E1810	Dynamic adjustable knee extension / flexion device, includes soft interface material	Y	N/R	12	$1,186

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	8	$427	Bone Support 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 J. Prince, M.D?

Tedicare shows public-source Medicare data for Edward J. Prince, M.D (NPI 1659306975), 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 J. Prince, M.D have ACO affiliation data?

Edward J. Prince, M.D is shown with ACO affiliation data for Aledade 201 National MSSP (MSSP, ACO ID A5522) and Revere Health Collaborative Network, LLC (REACH, ACO ID D0042).

What billing organization is linked to Edward J. Prince, M.D?

Edward J. Prince, M.D is linked to REVERE HEALTH PC (billing NPI 1093764805) in the available physician profile data.

Does Edward J. Prince, M.D have Open Payments data?

Edward J. Prince, M.D has 8 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.