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Dr. Randall C. Edgell, MD

Accepting New Patients

(Randall Edgell, MD)

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Specializes in: Psychiatry & Neurology and Vascular Neurology

Baylor College of Medicine

Professional interests include: stroke, embolization, aneurysm, and more.

1225 South Grand Boulevard 1L
St. Louis, MO 63104

(314) 617-2555

Dr. Randall C. Edgell, MD is a null in St. Louis, MO specializing in psychiatry & neurology and vascular neurology. He graduated from Baylor College of Medicine. Dr. Randall C. Edgell, MD is affiliated with SSM Health, SSM Health St. Mary's Hospital - St. Louis, SSM Health Good Samaritan Hospital - Mt. Vernon, SSM Health St. Clare Hospital - Fenton, SSM Health DePaul Hospital, SSM Health Cardinal Glennon Children's Hospital, SLUCare Physician Group, SSM Health Saint Louis University Hospital, SPRINGFIELD CLINIC LLP and SSM HEALTH CARE GROUP.

Office Locations

1225 South Grand Boulevard 1L
St. Louis, MO 63104

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Some issues Dr. Randall C. Edgell, MD can help you with:

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

Heart disease
Older age
Smoking
Diabetes
High blood pressure
High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

In The News

“SLUCare neurologist Dr. Randall Edgell explained the study out on the Lakeside Renovation and Design Weather Deck.”—"SLUCare doctor explains new stroke recovery study", FOX 2, October 2021

Noteworthy Medicare Patient Procedures Performed by Dr. Randall C. Edgell, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Affordability:

cervicocerebral arteriogram

cervicocerebral angiogram

In 2023, Dr. Randall C. Edgell, MD had a list price for angiogram (angiography), arteriogram, carotid angiogram, carotid arteriogram, cervicocerebral arteriogram, and cervicocerebral (head and neck) angiogram that was lower than the list prices billed to Medicare by 95% of providers in related specialties within Missouri. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Affordability:

hospital care

inpatient care

inpatient hospital care

In 2012, Dr. Randall C. Edgell, MD had a list price for hospital care, inpatient care, and inpatient hospital care (for patient admitted to hospital) that was lower than the list prices billed to Medicare by 75% of providers in related specialties within Missouri. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Randall C. Edgell, MD treated as a null in St. Louis, MO during 2012 were hospital care, inpatient care, vascular procedures and brain imaging (neuroimaging).

Volume of procedures performed by Dr. Randall C. Edgell, MD for Medicare patients.

brain imaging (neuroimaging)	40
hospital care	195
inpatient care	195
vascular procedures	131

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Randall C. Edgell, MD treated as a null in St. Louis, MO during 2013 were hospital care, inpatient care and vascular procedures.

Volume of procedures performed by Dr. Randall C. Edgell, MD for Medicare patients.

doctor visit	61
hospital care	275
inpatient care	275
vascular procedures	165

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Randall C. Edgell, MD.

**Gender**
Male	99
Female	134

**Ethnicity**
Non-Hispanic White	170
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	81
From 75 to 84	65
85 and over	30
Less than 65	57

Conditions of Medicare patients treated by Dr. Randall C. Edgell, MD in 2013

Hypertension	75
High Cholesterol	72
Stroke	75
Ischemic Heart Disease	61
Depression	46
Chronic Kidney Disease	38
Asthma	9
Osteoperosis	6
Atrial Fibrilation	24
Heart Failure	33
Chronic Obstructive Pulmonary Disease	30
Diabetes	46
Dementia	30
Cancer	8

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Randall C. Edgell, MD treated as a null in St. Louis, MO during 2014 were vascular procedures, hospital care, inpatient care and catheterization.

Volume of procedures performed by Dr. Randall C. Edgell, MD for Medicare patients.

catheterization	29
doctor visit	26
hospital care	198
inpatient care	198
minimally invasive procedures	17
spinal procedures	17
urologic procedures	12
vascular procedures	211

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Randall C. Edgell, MD.

**Gender**
Male	64
Female	96

**Ethnicity**
Non-Hispanic White	108
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	58
From 75 to 84	48
85 and over	12
Less than 65	42

Conditions of Medicare patients treated by Dr. Randall C. Edgell, MD in 2014

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	65
Depression	44
Chronic Kidney Disease	36
Asthma	15
Osteoperosis	11
Atrial Fibrilation	24
Heart Failure	35
Chronic Obstructive Pulmonary Disease	31
Diabetes	45
Dementia	26
Cancer	9

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Randall C. Edgell, MD treated as a null in St. Louis, MO during 2015 were hospital care, inpatient care and vascular procedures.

Volume of procedures performed by Dr. Randall C. Edgell, MD for Medicare patients.

doctor visit	52
hospital care	224
inpatient care	224
vascular procedures	204

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Randall C. Edgell, MD.

**Gender**
Male	172
Female	202

**Ethnicity**
Non-Hispanic White	250
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	130
From 75 to 84	96
85 and over	52
Less than 65	96

Conditions of Medicare patients treated by Dr. Randall C. Edgell, MD in 2015

Hypertension	75
High Cholesterol	73
Stroke	75
Ischemic Heart Disease	65
Depression	45
Chronic Kidney Disease	47
Asthma	23
Osteoperosis	8
Atrial Fibrilation	26
Heart Failure	42
Chronic Obstructive Pulmonary Disease	24
Diabetes	48
Dementia	24
Cancer	9

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Randall C. Edgell, MD treated as a null in St. Louis, MO during 2016 were hospital care, inpatient care and vascular procedures.

Volume of procedures performed by Dr. Randall C. Edgell, MD for Medicare patients.

doctor visit	40
hospital care	190
inpatient care	190
vascular procedures	129

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Randall C. Edgell, MD.

**Gender**
Male	60
Female	96

**Ethnicity**
Non-Hispanic White	103
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	59
From 75 to 84	34
85 and over	24
Less than 65	39

Conditions of Medicare patients treated by Dr. Randall C. Edgell, MD in 2016

Hypertension	75
High Cholesterol	75
Stroke	73
Ischemic Heart Disease	60
Depression	43
Chronic Kidney Disease	54
Asthma	30
Osteoperosis	8
Atrial Fibrilation	23
Heart Failure	42
Chronic Obstructive Pulmonary Disease	29
Diabetes	37
Dementia	29
Cancer	10

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Randall C. Edgell, MD treated as a null in St. Louis, MO during 2017 were hospital care, inpatient care and vascular procedures.

Volume of procedures performed by Dr. Randall C. Edgell, MD for Medicare patients.

doctor visit	39
hospital care	265
inpatient care	265
vascular procedures	159

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Randall C. Edgell, MD.

**Gender**
Male	94
Female	102

**Ethnicity**
Non-Hispanic White	146
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	72
From 75 to 84	56
85 and over	32
Less than 65	36

Conditions of Medicare patients treated by Dr. Randall C. Edgell, MD in 2017

Hypertension	75
High Cholesterol	72
Stroke	75
Ischemic Heart Disease	65
Depression	38
Chronic Kidney Disease	51
Asthma	13
Osteoperosis	10
Atrial Fibrilation	24
Heart Failure	54
Chronic Obstructive Pulmonary Disease	32
Diabetes	37
Dementia	28
Cancer	12

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Randall C. Edgell, MD treated as a null in St. Louis, MO during 2018 were hospital care, inpatient care and vascular procedures.

Volume of procedures performed by Dr. Randall C. Edgell, MD for Medicare patients.

doctor visit	19
hospital care	194
inpatient care	194
vascular procedures	194

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Randall C. Edgell, MD.

**Gender**
Male	83
Female	93

**Ethnicity**
Non-Hispanic White	117
Black	48
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	70
From 75 to 84	51
85 and over	19
Less than 65	36

Conditions of Medicare patients treated by Dr. Randall C. Edgell, MD in 2018

Hypertension	75
High Cholesterol	75
Stroke	74
Ischemic Heart Disease	65
Depression	44
Chronic Kidney Disease	54
Asthma	10
Osteoperosis	11
Atrial Fibrilation	21
Heart Failure	48
Chronic Obstructive Pulmonary Disease	30
Diabetes	43
Dementia	34
Cancer	15

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Randall C. Edgell, MD treated as a null in St. Louis, MO during 2019 were hospital care, inpatient care and vascular procedures.

Volume of procedures performed by Dr. Randall C. Edgell, MD for Medicare patients.

doctor visit	14
hospital care	327
inpatient care	327
vascular procedures	123

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Randall C. Edgell, MD.

**Gender**
Male	93
Female	118

**Ethnicity**
Non-Hispanic White	158
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	80
From 75 to 84	56
85 and over	25
Less than 65	50

Conditions of Medicare patients treated by Dr. Randall C. Edgell, MD in 2019

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	54
Depression	51
Chronic Kidney Disease	54
Asthma	9
Osteoperosis	12
Atrial Fibrilation	24
Heart Failure	43
Chronic Obstructive Pulmonary Disease	26
Diabetes	40
Dementia	30
Cancer	7

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Randall C. Edgell, MD treated as a null in St. Louis, MO during 2020 were hospital care, inpatient care and vascular procedures.

Volume of procedures performed by Dr. Randall C. Edgell, MD for Medicare patients.

hospital care	279
inpatient care	279
vascular procedures	64

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Randall C. Edgell, MD.

**Gender**
Male	71
Female	77

**Ethnicity**
Non-Hispanic White	107
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	54
From 75 to 84	42
85 and over	14
Less than 65	38

Conditions of Medicare patients treated by Dr. Randall C. Edgell, MD in 2020

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	63
Depression	43
Chronic Kidney Disease	60
Asthma	8
Osteoperosis	0
Atrial Fibrilation	22
Heart Failure	52
Chronic Obstructive Pulmonary Disease	28
Diabetes	46
Dementia	30
Cancer	9

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Randall C. Edgell, MD treated as a null in St. Louis, MO during 2021 were hospital care, inpatient care and vascular procedures.

Volume of procedures performed by Dr. Randall C. Edgell, MD for Medicare patients.

doctor visit	20
hospital care	301
inpatient care	301
vascular procedures	24

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Randall C. Edgell, MD.

**Gender**
Male	80
Female	105

**Ethnicity**
Non-Hispanic White	129
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	76
From 75 to 84	59
85 and over	25
Less than 65	25

Conditions of Medicare patients treated by Dr. Randall C. Edgell, MD in 2021

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	61
Depression	35
Chronic Kidney Disease	59
Asthma	10
Osteoperosis	10
Atrial Fibrilation	26
Heart Failure	44
Chronic Obstructive Pulmonary Disease	28
Diabetes	39
Dementia	35
Cancer	15

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Randall C. Edgell, MD treated as a null in St. Louis, MO during 2022 were hospital care, inpatient care and vascular procedures.

Volume of procedures performed by Dr. Randall C. Edgell, MD for Medicare patients.

doctor visit	13
hospital care	242
inpatient care	242
vascular procedures	11

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Randall C. Edgell, MD.

**Gender**
Male	74
Female	78

**Ethnicity**
Non-Hispanic White	112
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	56
From 75 to 84	48
85 and over	24
Less than 65	24

Conditions of Medicare patients treated by Dr. Randall C. Edgell, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	53
Depression	34
Chronic Kidney Disease	41
Asthma	11
Osteoperosis	0
Atrial Fibrilation	41
Heart Failure	41
Chronic Obstructive Pulmonary Disease	34
Diabetes	50
Dementia	28
Cancer	13

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Randall C. Edgell, MD for Medicare patients.

The highest averages for the top procedures that Dr. Randall C. Edgell, MD treated as a null in St. Louis, MO were hospital care, inpatient care, vascular procedures and brain imaging (neuroimaging).

brain imaging (neuroimaging)	40
catheterization	29
doctor visit	31
hospital care	244
inpatient care	244
minimally invasive procedures	17
spinal procedures	17
urologic procedures	12
vascular procedures	128

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Randall C. Edgell, MD.

**Gender**
Male	80
Female	100

**Ethnicity**
Black / African American	4
Asian / Pacific Islander	0
Non-Hispanic White	127
Hispanic	0
Native American / Alaskan Native	0
Other	0

**Age**
75 to 84	50
85 and over	23
Less than 65	40
65 to 74	66

Average of Total of Conditions of Medicare patients treated by Dr. Randall C. Edgell, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Randall C. Edgell, MD treated were hypertension, stroke, high cholesterol and ischemic heart disease.

Hypertension	68
High Cholesterol	67
Stroke	67
Ischemic Heart Disease	55
Depression	38
Chronic Kidney Disease	44
Asthma	12
Osteoporosis	6
Heart Failure	39
Chronic Obstructive Pulmonary Disease	26
Diabetes	39
Atrial Fibrillation	23
Cancer	9
Dementia	26

Education & Training

Dr. Randall C. Edgell, MD graduated from Baylor College of Medicine. He completed residency at NYU Langone Medical Center. He is certified by the American Board of Psychiatry & Neurology Drug Enforcement Administration Illinois Department of Financial & Professional Regulation Missouri Dept of Health/Narcotics&Dangerous Drugs Missouri State Board of Registration and has a state license in Missouri.

Medical School: Baylor College of Medicine

Residency: NYU Langone Medical Center

Board Certification: American Board of Psychiatry & Neurology Drug Enforcement Administration Illinois Department of Financial & Professional Regulation Missouri Dept of Health/Narcotics&Dangerous Drugs Missouri State Board of Registration

Licensed In: Missouri

Affiliations & Hospitals

Dr. Randall C. Edgell, MD is associated with these hospitals and organizations:

SSM Health

SSM Health St. Mary's Hospital - St. Louis

SSM Health Good Samaritan Hospital - Mt. Vernon

SSM Health St. Clare Hospital - Fenton

SSM Health DePaul Hospital

SSM Health Cardinal Glennon Children's Hospital

SLUCare Physician Group

SSM Health Saint Louis University Hospital

SPRINGFIELD CLINIC LLP

SSM HEALTH CARE GROUP

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General Payments

These charts describe general payments received by Dr. Randall C. Edgell, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Penumbra, Inc.	$1,965 Penumbra System $1,837	Indigo $100	None $28
MicroVention, Inc.	$1,855 NEUROLOGICAL PRODUCT $1,606	HydroFrame Coil $125	Sofia $124
Covidien LP	$218 Thrombectomy $183	Trellis $17	Flow Diversion $17
Stryker Corporation	$152 Trevo $119	NEURO $34
Medtronic Vascular, Inc.	$125 Thrombectomy $125
Other	$265 neurovascular $118	Non-Product Specific $112	PIPELINE $21	ANDEXXA $15

**Types of Payments**
Travel and Lodging	$2,937
Food and Beverage	$1,443
Entertainment	$183
Education	$17

Research Payments

Dr. Randall C. Edgell, MD has received 31 research payments totaling $41,135.

Biography

Dr. Randall Edgell specializes in vascular neurology. He attended Baylor College of Medicine for medical school and subsequently trained at NYU Langone Medical Center for residency. Areas of expertise for Dr. Edgell include endarterectomy, brain aneurysm, and stroke. His hospital/clinic affiliations include SSM Health DePaul Hospital, SSM Health Good Samaritan Hospital - Mt. Vernon, and SSM Health St. Clare Hospital - Fenton. His practice in St. Louis, MO is open to new patients as reported by Yext.