Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 7 | 465 | 492 | $350,419 | $47,242 |
| 2022 | 6 | 428 | 475 | $278,427 | $40,757 |
| 2021 | 7 | 490 | 535 | $331,333 | $46,527 |
| 2020 | 6 | 212 | 230 | $136,326 | $18,789 |
All Medicare Procedures & Services
26 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | Facility | 2023 | 203 | 205 | $208,819 | $28,334 | 13.6% |
| 99284 | Emergency department visit with moderate level of medical decision making | Facility | 2023 | 73 | 74 | $44,660 | $6,322 | 14.2% |
| 99291 | Critical care, first 30-74 minutes | Facility | 2023 | 34 | 34 | $44,595 | $5,928 | 13.3% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 22 | 32 | $37,280 | $4,454 | 11.9% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2023 | 13 | 13 | $5,486 | $747.72 | 13.6% |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | Facility | 2023 | 105 | 119 | $6,069 | $734.76 | 12.1% |
| 99283 | Emergency department visit with low level of medical decision making | Facility | 2023 | 15 | 15 | $3,510 | $722.28 | 20.6% |
| 99285 | Emergency department visit for life threatening or functioning severity | Facility | 2022 | 161 | 165 | $170,043 | $25,207 | 14.8% |
| 99284 | Emergency department visit for problem of high severity | Facility | 2022 | 71 | 72 | $48,936 | $7,050 | 14.4% |
| 99291 | Critical care, first 30-74 minutes | Facility | 2022 | 30 | 31 | $40,581 | $5,987 | 14.8% |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | Facility | 2022 | 140 | 181 | $9,231 | $1,145 | 12.4% |
| 99283 | Emergency department visit for problem of moderate severity | Facility | 2022 | 13 | 13 | $3,916 | $761.67 | 19.5% |
| 99217 | Hospital observation care on day of discharge | Facility | 2022 | 13 | 13 | $5,720 | $607.60 | 10.6% |
| 99285 | Emergency department visit, problem with significant threat to life or function | Facility | 2021 | 184 | 185 | $192,215 | $27,249 | 14.2% |
| 99284 | Emergency department visit, problem of high severity | Facility | 2021 | 67 | 81 | $57,186 | $7,941 | 13.9% |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | Facility | 2021 | 27 | 27 | $36,126 | $5,323 | 14.7% |
| 99220 | Hospital observation care, typically 70 minutes | Facility | 2021 | 15 | 15 | $16,800 | $2,220 | 13.2% |
| 99217 | Hospital observation care on day of discharge | Facility | 2021 | 24 | 25 | $11,000 | $1,355 | 12.3% |
| 99283 | Emergency department visit, moderately severe problem | Facility | 2021 | 23 | 24 | $8,928 | $1,331 | 14.9% |
| 93010 | Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report | Facility | 2021 | 150 | 178 | $9,078 | $1,108 | 12.2% |
| 99285 | Emergency department visit, problem with significant threat to life or function | Facility | 2020 | 74 | 74 | $76,190 | $10,757 | 14.1% |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | Facility | 2020 | 13 | 13 | $17,394 | $2,610 | 15.0% |
| 99284 | Emergency department visit, problem of high severity | Facility | 2020 | 27 | 27 | $18,114 | $2,332 | 12.9% |
| 99220 | Hospital observation care, typically 70 minutes | Facility | 2020 | 13 | 13 | $14,560 | $1,835 | 12.6% |
| 99283 | Emergency department visit, moderately severe problem | Facility | 2020 | 15 | 15 | $5,580 | $665.04 | 11.9% |
About Dr. Edward Hiltner, MD
Dr. Edward Hiltner, MD is a Emergency Medicine healthcare provider based in Flagstaff, Arizona. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 04/09/2007. The National Provider Identifier (NPI) number assigned to this provider is 1114040623.
As a Medicare-enrolled provider, Hiltner has provided services to 1,595 Medicare beneficiaries, totaling 1,732 services with total Medicare billing of $153,316. Data is available for 4 years (2020–2023), covering 26 distinct procedure/service records.
Practice Information
- Specialty Emergency Medicine
- Location Flagstaff, AZ
- Active Since 04/09/2007
- Last Updated 10/28/2015
- Taxonomy Code 207P00000X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1114040623
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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