Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidWilliam Edmonds
    Ask Trek AI about this page

    William Edmonds — Billing Profile & Reimbursement Data

    NPI 1770581506 · Oklahoma City, OK · Orthopaedic Surgery Physician

    Customize your policy alerts

    Sign up for William Edmonds — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    William Edmonds is a orthopaedic surgery physician provider located in Oklahoma City, Oklahoma. This profile covers 20 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWilliam Edmonds
    Address9600 Broadway Ext
    CityOklahoma City
    StateOK
    ZIP73114
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJuly 14, 2005

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

    Payer SourceTotal Paid
    Medicare$114K
    Medicaid$0

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…690$50$31.6K
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.80$180$14K
    27870The provider permanently fuses an ankle joint to relieve pain and disability from severe arthritis.20$670$10.8K
    99203The provider sees a new 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 provider…190$50$10.5K
    28750In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first…20$400$9.2K
    28730In this procedure, the provider surgically immobilizes multiple or transverse midtarsal or tarsometatarsal joints with the help of fixation devices. Midtarsal joints are combined joints of either the…10$500$6.4K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.980$10$5.9K
    20680Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…20$280$5.6K
    28725The provider fuses the subtalar joint of the foot to treat degenerative arthritis or trauma.10$430$5.1K
    20605In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…110$30$2.6K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2787011020$670$10.8K
    2875011020$400$9.2K
    992131925,45080$50$8.7K
    2873011010$500$6.5K
    2828511030$170$6.3K
    2872511010$430$5.1K
    2068031020$300$5K
    99203551,90030$70$3.5K
    2811211020$120$2.6K
    2055172020$30$2.6K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mcbride Clinic Orthopedic Hospital, LLCOKGeneral Acute Care Hospital$0$9M
    Thomas TkachOKOrthopaedic Surgery Physician$352.5K$0
    Winston FongOKOrthopaedic Surgery of the Spine Physician$348.4K$0
    Kevin WileyOKOrthopaedic Surgery of the Spine Physician$224.7K$0
    James MitchellOKOrthopaedic Surgery Physician$209.9K$0
    Christopher TravisOKSurgical Physician Assistant$156.9K$0
    Robert GermanOKOrthopaedic Surgery Physician$140K$0
    Christopher TkachOKOrthopaedic Surgery Physician$114.1K$0
    Mark PascaleOKOrthopaedic Surgery Physician$113.9K$0
    David BohnOKDiagnostic Radiology Physician$109K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Diagnostic Laboratory Of Oklahoma LLCOKClinical Medical Laboratory$12.4M$69M
    Variety Care, Inc.OKFederally Qualified Health Center (FQHC)$0$19.3M
    Coordinated Care Health Solutions, LLCOKClinical Medical Laboratory$395.7K$5.8M
    Osu Center For Health SciencesOKClinic/Center$0$6M
    Personal Nursing Care, IncOKHome Health Agency$0$5.6M
    Lori CraigOKNurse Practitioner$4.5M$0
    Diagnostic Pathology Services, Inc.OKClinical Medical Laboratory$460.1K$2.9M
    Integris Ddsi Endoscopy Centers LLCOKAmbulatory Surgical Clinic/Center$1.1M$1.2M
    Todd MolletOKMOHS-Micrographic Surgery Physician$2.1M$0
    Brandon RhinehartOKMOHS-Micrographic Surgery Physician$1.5M$0

    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. Oklahoma Distribution
    William Edmonds — 7 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma