Dr. Edward Lilly, M.D.
What this data tells you about Dr. Lilly
Dr. Edward Lilly is an adult reconstructive orthopaedic surgery physician in Hendersonville, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Lilly performed 3,948 Medicare services across 2,295 unique beneficiaries.
Between the years covered by Open Payments, Dr. Lilly received a total of $857 from 19 pharmaceutical and/or device companies across 30 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in adult reconstructive orthopaedic surgery physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Lilly is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
Medicare Practice Summary
Medicare Utilization ↗Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
1,085 | $1 | $2 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
699 | $61 | $221 |
| Knee X-ray, 4 or more views An imaging test using X-rays to create multiple pictures of the knee joint from different angles. |
547 | $32 | $128 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
286 | $32 | $111 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
245 | $48 | $263 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
168 | $75 | $273 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
163 | $30 | $95 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
121 | $85 | $312 |
| Total knee replacement | 106 | $976 | $5,111 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
96 | $100 | $407 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
59 | $37 | $116 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
54 | $37 | $137 |
| MRI of leg joint, without contrast A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye. |
51 | $109 | $636 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
47 | $37 | $116 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
45 | $23 | $90 |
| Total hip replacement Surgical procedure to replace the thigh bone and hip joint with artificial components. |
42 | $962 | $4,810 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
23 | $27 | $97 |
| Pelvis X-ray, 1-2 views An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints. |
23 | $20 | $68 |
| X-ray of both hips, 3-4 views An X-ray imaging test that captures 3 to 4 views of both hip joints to visualize the bones and surrounding structures. |
19 | $39 | $130 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
16 | $14 | $44 |
| Arthroscopic removal of knee cartilage A minimally invasive surgical procedure to remove damaged or loose pieces of cartilage from the knee joint using a small camera and instruments inserted through tiny incisions. |
15 | $394 | $1,855 |
| Hyaluronan gel injection for joint An injection of hyaluronan gel into a joint to supplement joint fluid. This procedure is administered as a single dose. |
15 | $406 | $1,230 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
12 | $22 | $90 |
| MRI of arm joint, without contrast An MRI scan uses magnetic fields and radio waves to create detailed images of the arm joint. This specific procedure is performed without the use of a contrast dye. |
11 | $103 | $637 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
All-time payments by company (2018-2024) ›
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Lilly is a clinical cardiology specialist, with above-average Medicare volume (top 19% in NC), with low-engagement industry engagement, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
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All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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