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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Edward Morris (NPI 1437166394)

Field	Value
Entity Type	Individual
Organization	Edward Morris
Address	106 Irving St Nw
City	Washington
State	DC
ZIP	20010
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	August 2, 2006

Payer Source	Total Paid
Medicare	$322.8K
Medicaid	$0

Key Findings

This provider’s entire public payer footprint is concentrated in Medicare with lifetime Medicare revenue of $322.8K and no Medicaid billing on file, so the practice is effectively single‑payer in the claims available here. The NPI was enumerated 2006-08-02 (~20 years ago), indicating long tenure in the Medicare program but no recorded Medicaid activity to evaluate payer diversification or state Medicaid dependence.

Revenue concentration is high: the precomputed top three Medicare codes (99213, 93306, 78452) together account for 55.9% of this provider’s total Medicare revenue. Individually those top drivers are 99213 at 25.3% of Medicare revenue, 93306 at 16.0%, and 78452 at 14.6%, which shows a narrow set of services producing the majority of payments.

The CPT/HCPCS mix indicates a diagnostic cardiology and outpatient clinic focus: 99213 is the single largest revenue source (office/outpatient E/M visits), while 93306 (echocardiography) and 78452 (cardiac SPECT imaging) are the next largest contributors. Ancillary codes such as J2785 (regadenoson injection), 93000/93015 (ECG and stress testing), and ambulatory monitor codes (93245/93241) further support a workflow centered on noninvasive cardiac imaging and stress testing tied to clinic encounters.

For some high-volume codes this provider is a national outlier: 99213 ranks #4668 of 457151 providers nationally (99th percentile; extreme outlier), and 93000 ranks #1500 of 71016 providers nationally (98th percentile; extreme outlier). That combination suggests unusually high national volume for routine E/M office visits and ECG readings relative to peers, which may reflect either a high clinic visit cadence or a focused billing pattern on basic cardiology encounters.

Several major diagnostic codes sit in more typical ranges rather than being dominant: 93306 (echocardiography) ranks #8192 of 24624 providers (67th percentile; typical, unremarkable volume) and 78452 (cardiac SPECT) ranks #3568 of 14946 providers (76th percentile; typical, unremarkable volume). These percentiles indicate the provider performs a common level of imaging and nuclear cardiology relative to national peers rather than being an imaging outlier.

Use of extended ambulatory monitoring is evident but not extreme: 93245 (7–15 day ECG monitor) generated $15.6K (4.8% of Medicare revenue) across 59 claims and ranks #29 of 159 providers nationally (82th percentile; typical, unremarkable volume), while 93241 (48-hour to 7-day monitor) contributes $4.6K (1.4%). The presence of both monitor durations plus stress testing codes (93015) indicates routine rhythm surveillance and stress evaluation are integrated into the practice model.

Hospital-based E/M codes are present at modest levels, showing some inpatient/observation activity: 99233 represents $12.9K (4.0% of Medicare revenue) with 125 claims and 99223 accounts for $2.9K (0.9%). This mix suggests the provider supplements outpatient clinic work with inpatient or observation care rather than operating exclusively in one setting.

For payer or contracting analysts, the profile points to a modest overall Medicare revenue base ($322.8K) with more than half of that tied to three codes (55.9%), creating concentration risk if reimbursement or utilization for those codes changes. The absence of Medicaid billing on file limits leverage or exposure in the DC Medicaid market, while the provider’s extreme national rankings for certain routine cardiology services (notably 99213 and 93000) could be a negotiating signal about local outpatient capacity for basic cardiology visits and ECG throughput.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,140	$70	$81.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	320	$160	$51.7K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	110	$410	$47.2K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	200	$130	$25.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	190	$110	$20.1K
93245	In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient who wears it for more than seven days, up to 15 days, to help detect abnormal heart rates and…	60	$270	$15.6K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	90	$170	$15K
J2785	Injection, regadenoson, 0.1 mg	300	$50	$13.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	130	$100	$12.9K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	1,000	$10	$12K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Edward Morris — 3 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	28	80	240	$110	$32.4K
78452	6	40	60	$340	$22.6K
99233	270	650	90	$100	$17.6K
99214	366	1,400	90	$100	$15.3K
93880	14	60	40	$130	$11.1K
93245	2	20	30	$240	$11K
99213	12	1,200	50	$70	$8.5K
99223	475	610	40	$140	$8.4K
J2785	3	30	150	$40	$6.8K
93351	11	10	20	$200	$6.5K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medstar Medical Group Ii LLC	MD	General Practice Physician	$0	$91.5M
Medstar Heart Institute LLC	DC	Surgery Physician	$0	$4.8M
Howard Hauptman	MD	Rheumatology Physician	$2.9M	$0
Kelly Orwat	SC	Internal Medicine Physician	$1.3M	$0
Stephen Ronson	MD	Specialist	$1.2M	$0
Prashanth Rao	MD	Cardiovascular Disease Physician	$1.1M	$0
Ankit Madan	MD	Hematology & Oncology Physician	$1M	$580
Omid Fatemi	CA	Interventional Cardiology Physician	$1M	$0
Atif Rasheed	TN	Emergency Medicine Physician	$832.9K	$54.7K
Jazibeh Qureshi	MD	Rheumatology Physician	$880.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital	DC	Children's Hospital	$0	$243.1M
Medstar Washington Hospital Center	DC	General Acute Care Hospital	$0	$239M
Children's Hospital	DC	Pediatrics Physician	$0	$115.3M
Whc Physician Group LLC	DC	General Practice Physician	$0	$93.8M
Medstar Medical Group Radiology, LLC	DC	Diagnostic Radiology Physician	$0	$17.5M
National Rehabilitation Hospital Inc	DC	Rehabilitation Hospital	$0	$16.9M
Hero Dental Of Washington Dc PC	DC	General Practice Dentistry	$0	$11.7M
Bio-medical Applications Of Columbia Heights, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.6M
Washington Hospital Center Corp	DC	General Practice Physician	$0	$3.7M
Capital Area Renal Associates, PC	DC	Internal Medicine Physician	$0	$3.6M

Edward Morris — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References