Physician

Edward Shaw Warren, MD

According to 2025 Medicare claims, Edward Warren, MD (NPI: 1992777148) practices geriatric medicine in the Spartanburg, SC market, with the plurality of this provider's patient population coming from Spartanburg, SC. This provider's primary affiliated billing organization is SC HOUSE CALLS INC (NPI: 1518048859; TIN: 205227543) and primary practice location at 29301-1248. Warren is affiliated with the TeamACO (ACO ID: A5341) and Advanced Illness Partners, LLC (ACO ID: D0097), participating under both the MSSP and REACH models.

Warren's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 290 traditional Medicare patients, billed 1,421 HCPCS/CPT codes, and received $113,580 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 26,405 prescription claims across 368 beneficiaries totaling $631,760 in drug costs, led by Eliquis (Apixaban). DME data shows 366 claims. Open Payments data shows 1 records totaling $120. 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 $171,669 to $113,580. Similarly, Part D prescription costs have moved from a higher plateau to a lower plateau, from $1,634,656 to $631,760. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $55,888 and ending at $15,053.

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$101K$202K2015 Medicare payment: $171,669 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $192,401 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $201,659 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $136,910 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $151,924 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $128,661 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $129,251 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $116,555 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $117,034 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $113,580 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155932,844$171,669
20166302,975$192,401
20176452,984$201,659
20184662,117$136,910
20193942,407$151,924
20203432,116$128,661
20214461,910$129,251
20223511,770$116,555
20233391,586$117,034
20242901,421$113,580

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$916K$1.8M2015 Drug cost: $1,634,656 (USD; Tot_Drug_Cst)2016 Drug cost: $1,831,223 (USD; Tot_Drug_Cst)2017 Drug cost: $1,503,877 (USD; Tot_Drug_Cst)2018 Drug cost: $1,279,104 (USD; Tot_Drug_Cst)2019 Drug cost: $1,179,093 (USD; Tot_Drug_Cst)2020 Drug cost: $847,397 (USD; Tot_Drug_Cst)2021 Drug cost: $963,202 (USD; Tot_Drug_Cst)2022 Drug cost: $825,101 (USD; Tot_Drug_Cst)2023 Drug cost: $765,027 (USD; Tot_Drug_Cst)2024 Drug cost: $631,760 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201567728,107$1,634,656
201670236,364$1,831,223
201758543,738$1,503,877
201854537,795$1,279,104
201937636,905$1,179,093
202032428,705$847,397
202136826,882$963,202
202233330,662$825,101
202334228,936$765,027
202436826,405$631,760

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$40K$79K2015 Medicare payment: $79,415 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $33,495 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $26,014 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $33,748 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $15,192 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $38,210 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $46,244 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $29,443 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $16,106 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $10,861 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201564619$79,415
201627334$33,495
201757369$26,014
2018121451$33,748
201955360$15,192
2020104559$38,210
2021227808$46,244
2022192847$29,443
2023115444$16,106
202487366$10,861

* / # = 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
99306Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more157176$135
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes5863$96
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes260839$76
99315Nursing facility discharge day management, 30 minutes or less4545$59
99497Advance care planning, first 30 minutes206234$57

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban1,0368,358$178,096
XareltoRivaroxaban2381,674$33,516
Trelegy ElliptaFluticasone/Umeclidin/Vilanter24836$18,450
Oxycodone Hcl ErOxycodone Hcl14196$18,403
Combivent RespimatIpratropium/Albuterol Sulfate23628$11,836

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
K0001Standard wheelchairY43231$3,913
E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattressYN/R51$2,463
E0973Wheelchair accessory, adjustable height, detachable armrest, complete assembly, eachN1515$1,559
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R12$877
E0630Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)YN/R15$727

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$120Otsuka America Pharmaceutical, 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 Shaw Warren, MD?

Tedicare shows public-source Medicare data for Edward Shaw Warren, MD (NPI 1992777148), 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 Shaw Warren, MD have ACO affiliation data?

Edward Shaw Warren, MD is shown with ACO affiliation data for TeamACO (MSSP, ACO ID A5341) and Advanced Illness Partners, LLC (REACH, ACO ID D0097).

What billing organization is linked to Edward Shaw Warren, MD?

Edward Shaw Warren, MD is linked to SC HOUSE CALLS INC (billing NPI 1518048859) in the available physician profile data.

Does Edward Shaw Warren, MD have Open Payments data?

Edward Shaw Warren, MD 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.