Medicare Enrolled
Dr. Edgar Macias, M.D.
Dermatology · Fresno, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Macias from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Macias
Dr. Edgar Macias is a dermatology specialist in Fresno, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Macias performed 18,120 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Macias received a total of $5,082 from 34 pharmaceutical and/or device companies across 221 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Macias 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.
✓ 18 years of NPI registration
▲ Top 3% volume in CA
$5,082 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗18,120
Medicare services
Top 3% in CA for dermatology
Not available
Unique patients (not deduplicated)
$110
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Tissue pathology examination, moderate complexity A laboratory test where a pathologist examines tissue samples under a microscope to analyze cellular details. This intermediate complexity procedure involves specialized techniques to identify abnormalities in the tissue. |
3,315 | $59 | $150 |
| 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. |
2,249 | $90 | $226 |
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
1,399 | $6 | $11 |
| Destruction of skin growths (warts/lesions), 1-14 This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface. |
1,207 | $89 | $240 |
| High dose rate electronic brachytherapy, external | 1,142 | $134 | $325 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
902 | $54 | $211 |
| Radiation treatment planning, 1 area This procedure involves gathering the necessary data to design the most effective radiation therapy plan for a single treatment area. |
874 | $234 | $613 |
| Destruction of 15 or more precancerous skin growths This procedure involves the removal or destruction of fifteen or more precancerous skin lesions. It is performed to treat abnormal skin cells that have the potential to develop into cancer. |
857 | $136 | $305 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
757 | $34 | $140 |
| Additional skin growth biopsy Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session. |
658 | $43 | $114 |
| Puraply AM application per square centimeter Application of Puraply AM dressing to the skin. The charge is calculated based on the surface area treated. |
480 | $84 | $135 |
| 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. |
409 | $60 | $153 |
| UV therapy with tar or petroleum jelly A treatment using ultraviolet radiation combined with the application of tar or petroleum jelly to the skin. |
316 | $97 | $247 |
| Skin growth removal and lab exam, 1-5 blocks This procedure involves the removal of a growth from the head, neck, hands, feet, or genitals. The removed tissue is then examined under a microscope in the laboratory. |
313 | $552 | $1,397 |
| Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 230 | $348 | $825 |
| Complicated wound repair, 2.6-7.5 cm A complex surgical procedure to close a wound measuring between 2.6 and 7.5 centimeters on areas such as the face, neck, hands, or feet. |
220 | $207 | $1,004 |
| 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. |
215 | $72 | $225 |
| Destruction of skin growth, 15 or more growths | 210 | $103 | $282 |
| 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. |
194 | $42 | $93 |
| External heat therapy for cancer cells, 4 cm depth or less This procedure uses externally generated heat to raise the temperature of cancer cells to a depth of 4.0 cm or less. |
175 | $461 | $1,149 |
| Light therapy to destroy precancerous skin growth A qualified healthcare professional applies light to the skin to destroy precancerous growths. |
172 | $192 | $412 |
| Topical aminolevulinic acid HCl 20% solution A topical medication applied to the skin for medical treatment. It is supplied as a single-unit dosage form containing 354 mg of the active ingredient. |
172 | $307 | $809 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
161 | $1 | $4 |
| Destruction of birthmark, larger than 50 sq cm This procedure involves the removal or destruction of a birthmark that covers an area larger than 50 square centimeters. |
159 | $510 | $1,354 |
| Destruction of cancer skin growth, 1.1-2.0 cm Removal of a cancerous skin growth on the trunk, arms, or legs that measures between 1.1 and 2.0 centimeters. |
119 | $130 | $372 |
| Tissue staining for diagnosis, additional An extra laboratory procedure to apply special stains to tissue slides for detailed examination. |
104 | $74 | $199 |
| Intermediate wound repair, 2.6-7.5 cm A medical procedure to close a wound on the scalp, underarms, trunk, arms, or legs that measures between 2.6 and 7.5 centimeters. This type of repair involves cleaning the wound and stitching it closed to promote healing. |
99 | $249 | $642 |
| Complicated wound repair, scalp/arms/legs, 2.6-7.5 cm A complex surgical procedure to close a wound on the scalp, arms, or legs that measures between 2.6 and 7.5 centimeters in length. |
98 | $218 | $903 |
| Surgical removal of skin cancer, 1.1-2.0 cm Surgical excision of a cancerous skin growth measuring between 1.1 and 2.0 centimeters on the body, arms, or legs. |
87 | $104 | $526 |
| Radiation treatment planning, complex This procedure involves obtaining the necessary data to develop an optimal radiation treatment plan for three or more treatment areas, or any number of areas requiring special treatment. |
86 | $388 | $1,147 |
| Skin growth removal and lab exam, 1-5 blocks A procedure to remove a growth from the trunk, arms, or legs and send 1 to 5 tissue samples to a laboratory for microscopic examination. |
68 | $519 | $1,309 |
| Ear tissue biopsy A procedure to remove a small sample of tissue from the ear for laboratory examination. |
66 | $46 | $215 |
| Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm | 65 | $142 | $395 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
65 | $11 | $44 |
| Tissue staining for diagnosis, initial A laboratory test where special stains are applied to tissue slides to help examine the cells and identify specific characteristics. |
51 | $86 | $226 |
| Chemical treatment of acne A procedure involving the application of a chemical solution to the skin to treat acne. This treatment is used to manage acne lesions on the affected area. |
47 | $97 | $269 |
| Destruction of cancerous skin growth on face, 1.1-2.0 cm This procedure involves the removal or destruction of a cancerous skin lesion located on the face, ears, eyelids, nose, lips, or mouth. The lesion treated measures between 1.1 and 2.0 centimeters in diameter. |
46 | $154 | $431 |
| Additional Mohs surgery stage with microscopic exam This procedure involves the removal and microscopic examination of an additional stage of tissue from the trunk, arms, or legs. It is performed in stages to ensure complete removal of the growth. |
43 | $315 | $788 |
| Unclassified biologic A biologic product that does not have a specific HCPCS code assigned. |
35 | $0 | $0 |
| Complex repair of eyelid, nose, ear, or lip wound, 2.6-7.5 cm A surgical procedure to repair a complex wound on the eyelid, nose, ear, or lip that measures between 2.6 and 7.5 centimeters. |
32 | $223 | $1,065 |
| Simple drainage of skin abscess A minor procedure to drain a localized collection of pus from the skin. The abscess is opened to allow the fluid to escape and promote healing. |
31 | $85 | $252 |
| Injection into skin growths, 1-7 A procedure involving the injection of medication into one to seven skin growths. |
28 | $32 | $119 |
| Skin substitute graft application, 25 sq cm or less Application of a skin substitute graft to a wound on the face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes. The wound area covered is 25.0 square centimeters or less. |
27 | $89 | $337 |
| Complicated wound repair of trunk, 2.6-7.5 cm A surgical procedure to close a complex wound on the trunk that measures between 2.6 and 7.5 centimeters in length. |
26 | $222 | $839 |
| Shaving of skin growth, 0.6-1.0 cm A minor procedure to shave off a skin growth on the body, arms, or legs that measures between 0.6 and 1.0 centimeters. |
20 | $81 | $257 |
| Removal of noncancer skin growth, 1.1-2.0 cm This procedure involves the surgical removal of a benign skin growth located on the body, arms, or legs. The growth measured between 1.1 and 2.0 centimeters in diameter. |
20 | $70 | $354 |
| Complicated wound repair, each additional 5 cm or less This code covers the additional work for repairing a complex wound in specified body areas when the repair extends beyond the initial measurement. It applies to each incremental 5.0 cm or less added to the primary repair length. |
18 | $140 | $372 |
| Complicated wound repair, each additional 5 cm or less This code covers the additional work for a complex surgical repair of a wound on the scalp, arms, or legs when the repair extends beyond the initial measurement. It is billed for each incremental 5-centimeter segment added to the primary procedure. |
15 | $100 | $279 |
| Pathology tissue examination, moderate complexity A laboratory test where a pathologist examines tissue samples under a microscope to identify abnormalities. This specific level indicates a moderate degree of complexity in the analysis. |
14 | $37 | $88 |
| Shaving of skin growth, 0.6-1.0 cm A minor procedure to shave off a skin growth measuring 0.6 to 1.0 cm from the scalp, neck, hands, feet, or genitals. |
13 | $77 | $261 |
| Shaving of skin growth on face, 0.6-1.0 cm This procedure involves shaving off a skin growth located on the face, ears, eyelids, nose, lips, or mouth. The size of the growth being removed is between 0.6 and 1.0 centimeters. |
11 | $118 | $236 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
0.2% high complexity
15.7% medium
84.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$5,082
Total received (2018-2024)
Avg $726/year across 7 years
Top 28% in CA for dermatology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
221
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$981
2023
$1,187
2022
$592
2021
$344
2020
$429
2019
$868
2018
$681
Payments by company (2024)
ABBVIE INC.
$251
Amgen Inc.
$208
Novartis Pharmaceuticals Corporation
$190
GENZYME CORPORATION
$160
SUN PHARMACEUTICAL INDUSTRIES INC.
$77
PFIZER INC.
$35
UCB, Inc.
$22
Janssen Biotech, Inc.
$19
LEO Pharma Inc.
$19
Top 3 companies account for 66.2% of 2024 payments
All-time payments by company (2018-2024) ›
Novartis Pharmaceuticals Corporation
$796
ABBVIE INC.
$697
GENZYME CORPORATION
$396
Amgen Inc.
$386
Janssen Scientific Affairs, LLC
$357
Janssen Biotech, Inc.
$283
PruGen, Inc. Pharmaceuticals
$267
PFIZER INC.
$219
Allergan, Inc.
$157
ORGANOGENESIS INC.
$140
Organogenesis Inc.
$131
Arcutis Biotherapeutics, Inc.
$130
Galderma Laboratories, L.P.
$129
E.R. Squibb & Sons, L.L.C.
$125
AbbVie, Inc.
$113
SUN PHARMACEUTICAL INDUSTRIES INC.
$102
Sun Pharmaceutical Industries Inc.
$97
Lilly USA, LLC
$85
Allergan Inc.
$73
Celgene Corporation
$67
LEO Pharma Inc.
$60
Regeneron Healthcare Solutions, Inc.
$56
Incyte Corporation
$34
EPI Health, LLC
$29
Helsinn Therapeutics (U.S.), Inc.
$22
UCB, Inc.
$22
Promius Pharma LLC
$20
DUSA Pharmaceuticals, Inc.
$15
Encore Dermatology Inc.
$15
Bayer HealthCare Pharmaceuticals Inc.
$14
Merck Sharp & Dohme Corporation
$14
Almirall LLC
$12
STRATA Skin Sciences, Inc.
$11
Osiris Therapeutics Inc.
$6
Top 3 companies account for 37.2% of all-time payments
Associated products mentioned in payments ›
ADBRY · AKLIEF · BLU-U · BOTOX · BOTOX COSMETIC · Bimzelx · CIBINQO · CLODERM · COSENTYX · DERMATITIS - DISEASE · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · ENSTILAR · EPIDUO FORTE · EPSOLAY · EUCRISA · Finacea · GRAFIX/GRAFIXPL/STRAVIX · HUMIRA · Humira · ILUMYA · Impoyz · JANUVIA · LEVULAN KERASTICK · LITFULO · OPZELURA · ORACEA · Otezla · Puraply · Puraply Antimicrobial · RINVOQ · SKYRIZI · Seysara · Sitavig · Sotyktu · TALTZ · TREMFYA · Tremfya · Trianex · VALCHLOR · XTRAC
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Dermatologists in nearby ZIP areas
27
County median income
$71,434
Nearest hospital to ZIP centroid (approximate)
SAINT AGNES MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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. Macias is a clinical cardiology specialist, with above-average Medicare volume (top 3% in CA), with 18 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Macias experienced with tissue pathology examination, moderate complexity?
Based on Medicare claims data, Dr. Macias performed 3,315 tissue pathology examination, moderate complexity services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Macias receive payments from pharmaceutical companies?
Yes. Dr. Macias received a total of $5,082 from 34 companies across 221 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Macias's costs compare to other dermatologists in Fresno?
Dr. Macias's average Medicare payment per service is $110. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Macias) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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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