Physician

Edwin R Rozario, M.D.

According to 2025 Medicare claims, Edwin Rozario, M.D. (NPI: 1780004093) practices family practice in the Wheeling, WV-OH market, with the plurality of this provider's patient population coming from Ohio, WV. This provider's primary affiliated billing organization is WHEELING HOSPITAL INC (NPI: 1548923923; TIN: 55-0357057) and primary practice location at 26003-3610. Rozario is affiliated with the ACO West Virginia (ACO ID: A3563), participating under the MSSP model.

Rozario's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 236 traditional Medicare patients, billed 849 HCPCS/CPT codes, and received $54,133 in Medicare payments. The top billing code was G0402 (Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment). Part D data shows 11,047 prescription claims across 618 beneficiaries totaling $744,498 in drug costs, led by Eliquis (Apixaban). DME data shows 280 claims. Open Payments data shows 4 records totaling $349. 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 risen steadily, from $21,239 to $54,133. Similarly, Part D prescription costs have risen steadily, from $30,270 to $744,498. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $2,413 and ending at $13,072.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	213	461	$21,239
2021	219	637	$36,000
2022	234	826	$48,781
2023	251	909	$59,375
2024	236	849	$54,133

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	80	550	$30,270
2016	66	459	$22,221
2017	15	22	$1,185
2018	137	820	$45,646
2019	156	595	$31,092
2020	364	1,860	$206,441
2021	444	5,781	$497,323
2022	495	8,509	$678,774
2023	550	9,890	$804,347
2024	618	11,047	$744,498

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	14	$175
2021	18	71	$1,069
2022	27	146	$4,289
2023	16	195	$11,835
2024	120	280	$825,006

* / # = 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
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$124
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	154	154	$120
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	372	$57
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	129	234	$41
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	19	$39

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	114	5,340	$103,507
Ozempic	Semaglutide	66	2,390	$74,842
Xarelto	Rivaroxaban	56	3,420	$63,365
Januvia	Sitagliptin Phosphate	67	3,090	$54,622
Mounjaro	Tirzepatide	28	1,120	$41,755

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
A4353	Intermittent urinary catheter, with insertion supplies	N	107	107	$820,260
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	21	$1,485
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	15	$1,422
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	12	$520
Q0513	Pharmacy dispensing fee for inhalation drug(s); per 30 days	N	N/R	20	$466

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$349	Mannkind Corporation
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 Edwin R. Rozario, M.D.?

Tedicare shows public-source Medicare data for Edwin R. Rozario, M.D. (NPI 1780004093), 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 Edwin R. Rozario, M.D. have ACO affiliation data?

Edwin R. Rozario, M.D. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563).

What billing organization is linked to Edwin R. Rozario, M.D.?

Edwin R. Rozario, M.D. is linked to WHEELING HOSPITAL INC (billing NPI 1548923923) in the available physician profile data.

Does Edwin R. Rozario, M.D. have Open Payments data?

Edwin R. Rozario, M.D. has 4 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.