Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Adam Edwards (NPI 1003950411)

Field	Value
Entity Type	Individual
Organization	Adam Edwards
Address	1250 S Cedar Crest Blvd
City	Allentown
State	PA
ZIP	18103
Taxonomy	Neurocritical Care Physician
NPI Enumerated	February 18, 2007

Payer Source	Total Paid
Medicare	$34.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	160	$170	$25.7K
G0508	Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth	30	$160	$4K
G0509	Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth	10	$140	$1.9K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	20	$80	$1.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$60	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Adam Edwards — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	357	3,800	40	$170	$11.7K
99232	9,500	10,870	80	$60	$9.6K
G0509	8	10	30	$150	$8.3K
G0508	5	10	20	$170	$7K
99292	102	170	30	$80	$3.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Adam Edwards, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beth Cohen	PA	Neurology Physician	$77.7K	$0
Behrang Saminejad	PA	Neurology Physician	$61.3K	$0
Christopher Melinosky	PA	Neurocritical Care Physician	$48.7K	$0
Nathanael Lee	PA	Neurology Physician	$47.6K	$0
Preet Varade	PA	Neurocritical Care Physician	$44.2K	$0
Paul Mccabe	PA	Neurology Physician	$35.8K	$0
Martina Vendrame	PA	Sleep Medicine (Psychiatry & Neurology) Physician	$33.2K	$0
Soraya Jimenez	PA	Epilepsy Physician	$31.7K	$0
Steve Bibu	PA	Neurocritical Care Physician	$27.8K	$0
Kathryn Cheponis	PA	Vascular Neurology Physician	$24.1K	$1.3K

Adam Edwards — Billing Profile & Reimbursement Data

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Adam Edwards — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References