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    OpenPayerNPI Medicare & MedicaidJohn Edwards
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    John Edwards — Billing Profile & Reimbursement Data

    NPI 1053421248 · Rockford, IL · Anesthesiology Physician

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    John Edwards is a anesthesiology physician provider located in Rockford, Illinois. This profile covers 13 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Edwards
    Address6785 Weaver Rd
    CityRockford
    StateIL
    ZIP61114
    TaxonomyAnesthesiology Physician
    NPI EnumeratedAugust 30, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$31K
    Medicaid$2K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    00811The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…110$60$6.6K
    00731The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…60$60$3.5K
    00520The provider performs anesthesia services for a patient undergoing closed chest procedures including bronchoscopy, which means viewing the windpipe for investigation. This code includes procedures…40$90$3.1K
    00813The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…50$60$3.1K
    00812The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…50$60$2.8K
    00790The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.20$120$2.6K
    00300The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system, muscles and nerves of head, neck, and posterior trunk.30$80$2.3K
    00840The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.20$100$2.1K
    01480The provider performs anesthesia services for a patient undergoing an open procedure on the bones of the lower leg, ankle, and foot.20$60$1.4K
    00400The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system on the extremities, anterior trunk and perineum, not otherwise specified.20$50$1.3K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    00811431,38020$80$2.8K
    007902229010$190$2.8K
    008127872020$90$2.4K
    008136487020$100$2.4K
    008401418010$150$2.3K
    00731811,70020$80$2.2K
    00520412010$130$2.1K
    0030075020$110$2K
    01480714010$110$1.6K
    004001612010$80$1.3K

    Showing 1–10 of 13

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01967The provider performs neuraxial  anesthesia services for a patient undergoing a planned vaginal delivery.10$80$1K
    00811The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…10$80$960

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    01967The provider performs neuraxial  anesthesia services for a patient undergoing a planned vaginal delivery.19222030$500$45.5K
    00811The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…324030$80$5.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Mary Medical CenterILHome Health Agency$0$5.1M
    Osf Healthcare SystemILRural Health Clinic/Center$0$4.9M
    Osf Healthcare SystemILRural Health Clinic/Center$0$4.7M
    Luke XieILFamily Medicine Physician$41.9K$2.9M
    Vladimir StruninILObstetrics & Gynecology Physician$46K$559.3K
    Daniel MuellerILEmergency Medicine Physician$62.8K$484.9K
    Nasaraiah NallamothuILCardiovascular Disease Physician$248.3K$125.9K
    Usman CheemaILPulmonary Disease Physician$222K$132.4K
    Mark BernardiNVEmergency Medicine Physician$294.3K$23.6K
    Patrick WhittenILPulmonary Disease Physician$174.9K$108.8K

    Nearby Providers

    Other providers in the same ZIP code as John Edwards, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Andrzej JasekILRheumatology Physician$1.6M$4.9K
    Saad TariqILRheumatology Physician$1.2M$13.6K
    Michael BenantiILDiagnostic Radiology Physician$469.7K$460
    Mark OyerILOrthopaedic Surgery Physician$465.8K$910
    Joe O'sabenILPain Medicine Physician$394.5K$0
    John BottrosILOrthopaedic Surgery Physician$376.5K$5.8K
    Dawn MansfieldILPhysical Therapist$284.7K$0
    Rajesh KakarlaILVascular & Interventional Radiology Physician$160.3K$122.6K
    Keith McguireILDiagnostic Radiology Physician$266.6K$6.2K
    Manoj SreedharanILOccupational Medicine Physician$210K$61.1K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Illinois Distribution
    John Edwards — 3 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    John Edwards — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois