Tenisha Edmiston, NP

Offices

3 locations · Williams Medical Group Practice, LLC · 212 clinicians in this group

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Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Tenisha Edmiston’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$10,312

Medicare paid this office $10,312 for 187 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

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Largest Original Medicare bills

Short return visit (20+ min)	39	$1,906	$49
Detection test by nucleic acid for multiple types influenza virus	18	$1,690	$94
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	41	$1,663	$41
New patient visit (45+ min)	15	$1,359	$91
New patient visit (30+ min)	19	$928	$49

See all 9 services

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Every Original Medicare service billed

Short return visit (20+ min)	39	$1,906	$49
Detection test by nucleic acid for multiple types influenza virus	18	$1,690	$94
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	41	$1,663	$41
New patient visit (45+ min)	15	$1,359	$91
New patient visit (30+ min)	19	$928	$49
Return visit (30+ min)	21	$924	$44
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	27	$408	$15
X-ray of chest, 2 views	16	$258	$16
Automated urinalysis test	45	$106	$2

Who their Medicare patients are

187 Original Medicare patients in 2024. Average age 71 · Under 65 13% · 85 and older 9% · Women 75% · Also on Medicaid 11% · Health risk score 1.06. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 68% · Diabetes 28% · Depression 25% · COPD 20% · Chronic kidney disease 19% · Atrial fibrillation 15% · Cancer 14% · Coronary heart disease 12% · Heart failure 12% · Stroke 6%.

The office billed $38,761, Medicare allowed $14,049 and paid $10,312; for 313 services of 31 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

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Original Medicare by year

2024	187	313	71	1.06	$38,761	$10,312
2023	276	540	72	0.97	$52,957	$16,601
2022	176	479	72	1.03	$41,653	$17,589

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 11 services

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Original Medicare services billed in 2023

Return visit (30+ min)	41	$3,347	$78
Short return visit (20+ min)	68	$2,678	$39
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	60	$2,474	$41
New patient visit (30+ min)	37	$1,662	$45
New patient visit (45+ min)	23	$1,475	$64
Detection test by nucleic acid for multiple types influenza virus	12	$1,220	$94
Detection test by immunoassay with direct visual observation for influenza virus	16	$503	$16
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	21	$373	$16
X-ray of chest, 2 views	25	$359	$14
X-ray of foot, minimum of 3 views	13	$239	$18
Automated urinalysis test	55	$132	$2

2022: 8 services

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Original Medicare services billed in 2022

Short return visit (20+ min)	65	$4,011	$61
New patient visit (30+ min)	48	$3,043	$63
Return visit (30+ min)	32	$2,888	$88
New patient visit (45+ min)	17	$1,841	$108
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	36	$1,460	$41
Detection test by immunoassay with direct visual observation for influenza virus	25	$795	$16
Injection of drug or substance under skin or into muscle	11	$109	$8
Automated urinalysis test	32	$70	$2

Medicaid work

$15,412 in 2024

Medicaid paid $15,412 for 511 billed services this clinician did in 2024, up to 49 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

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Largest Medicaid services in 2024

Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types	128	$8,550
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])	184	$4,923
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A	199	$1,939

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Medicaid work by year

2024	511	3	49	$15,412
2023	798	9	42	$20,586
2022	784	10	63	$21,207

See the largest Medicaid services in earlier years

2023

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Largest Medicaid services in 2023

Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types	76	$4,790
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])	179	$4,388
Short return visit (20+ min)	109	$2,892
Return visit (30+ min)	63	$2,716
New patient visit (30+ min)	42	$2,235
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A	245	$1,945
New patient visit (45+ min)	16	$935
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza	55	$567
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus	13	$118

2022

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Largest Medicaid services in 2022

New patient visit (30+ min)	126	$6,248
Short return visit (20+ min)	141	$3,863
Return visit (30+ min)	73	$3,067
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])	111	$2,875
New patient visit (45+ min)	43	$2,822
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza	188	$1,876
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus	21	$234
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A	42	$214
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy	15	$9
Handling and/or conveyance of specimen for transfer from physician office to laboratory	24	$0

Drugs they prescribed that Part D paid

$4,076

Pharmacies billed $4,076 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

293 generic and fewer than 11 brand-name prescriptions · $4,076 in drug cost · 114 antibiotic prescriptions to 104 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

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Largest Part D drug costs

Albuterol Sulfate Hfa	23	$552	$24
Cefdinir	20	$309	$15
Mupirocin	18	$177	$10
Fluticasone Propionate	18	$167	$9
Doxycycline Hyclate	19	$156	$8

See all 10 drugs

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Every Part D drug this clinician prescribed

Albuterol Sulfate Hfa	23	$552	$24
Cefdinir	20	$309	$15
Mupirocin	18	$177	$10
Fluticasone Propionate	18	$167	$9
Doxycycline Hyclate	19	$156	$8
Amoxicillin-Clavulanate Potass	17	$111	$7
Cephalexin	19	$95	$5
Methylprednisolone	12	$73	$6
Prednisone	31	$54	$2
Ciprofloxacin	11	$41	$4

Year by year

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Part D prescribing by year

2024	313	210	None	None	$4,076
2023	400	256	None	6%	$4,778
2022	198	124	0% (0)	None	$8,358
2021	686	147	None	None	$72,578
2020	144	63	None	14%	$13,219
2019	275	154	None	15%	$7,250
2018	93	63	None	None	$1,634
2017	81	38	None	None	$1,611

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 10 drugs

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Part D drugs prescribed in 2023

Doxycycline Hyclate	46	$544	$12
Albuterol Sulfate Hfa	17	$459	$27
Methylprednisolone	37	$356	$10
Mupirocin	24	$327	$14
Amoxicillin-Clavulanate Potass	34	$275	$8
Fluticasone Propionate	19	$203	$11
Nitrofurantoin Mono-Macro	15	$196	$13
Cephalexin	16	$87	$5
Prednisone	38	$82	$2
Amoxicillin	11	$41	$4

2022: 5 drugs

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Part D drugs prescribed in 2022

Albuterol Sulfate Hfa	11	$375	$34
Methylprednisolone	29	$287	$10
Amoxicillin-Clavulanate Potass	19	$236	$12
Doxycycline Hyclate	11	$183	$17
Prednisone	18	$39	$2

2021: 16 drugs

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Part D drugs prescribed in 2021

Xarelto	12	$7,035	$586
Levothyroxine	32	$846	$26
Albuterol Sulfate Hfa	14	$539	$38
Metoprolol	12	$443	$37
Atorvastatin	32	$434	$14
Amlodipine Besylate	36	$261	$7
Montelukast	13	$260	$20
Metformin	22	$210	$10
Gabapentin	19	$190	$10
Losartan	22	$174	$8
Alendronate	21	$160	$8
Glipizide	11	$139	$13
Lisinopril	28	$125	$4
Trazodone	22	$118	$5
Simvastatin	17	$74	$4
Hydrochlorothiazide	15	$65	$4

2020: 1 drug

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Part D drugs prescribed in 2020

Doxycycline Hyclate	13	$167	$13

2019: 7 drugs

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Part D drugs prescribed in 2019

Doxycycline Hyclate	18	$254	$14
Methylprednisolone	18	$208	$12
Amoxicillin-Clavulanate Potass	15	$164	$11
Cephalexin	21	$122	$6
Azithromycin	17	$121	$7
Mupirocin	13	$102	$8
Prednisone	16	$42	$3

Money from drug and device companies

$13 in 2024

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Industry payments by year

2024	1	1	None	$13
2022	3	3	None	$49
2021	5	5	None	$60

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

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Payments by company

Exact Sciences	Cologuard Collection Kit	$13	1 payment Meals for Cologuard Collection Kit · 2024-05-11 · $13

See the published payment

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Every published payment

Exact Sciences	Meals · 2024-05-11	Cologuard Collection Kit	$13

See earlier years (2022, 2021)

2022: $49

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Payments by company in 2022

TherapeuticsMD	Annovera	$22	1 payment Meals for Annovera · 2022-01-13 · $22
Shield Therapeutics	Accrufer	$15	1 payment Meals for Accrufer · 2022-04-26 · $15
Scynexis	None	$13	1 payment Meals · 2022-02-03 · $13

2021: $60

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Payments by company in 2021

Hologic	Aptima	$14	1 payment Meals for Aptima · 2021-11-10 · $14
Avion Pharmaceuticals	Balcoltra	$12	1 payment Meals for Balcoltra · 2021-12-03 · $12
Myovant Sciences	Myfembree	$12	1 payment Meals for Myfembree · 2021-09-24 · $12
TherapeuticsMD	Annovera	$12	1 payment Meals for Annovera · 2021-11-04 · $12
Mission Pharmacal	Citranatal	$11	1 payment Meals for Citranatal · 2021-11-10 · $11

Professional record

NPI: 1295285765
Licence: CA 95009464, NJ 26NJ00663400
Group: Williams Medical Group Practice, LLC
Gender: Female

More record details

Sole proprietor: No
Taxonomy: Federal specialty code 363LF0000X (363LF0000X)
Mailing address: 4735 Hamilton Ave, San Jose, CA, 95130
NPI first listed: 2016-10-10
NPI last updated: 2019-07-30

This is when the NPI record was last certified, not a medical board exam.