Edwards, James

Edwards, James was paid $10K by Medicaid between Jun 2018 and Jan 2020, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.

33Billing provider infoEDWARDS, JAMES
CAPE GIRARDEAU, MO 63703

33aNPI1023125713assigned 08/25/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$10K

24GClaims233

24DCodes billed2

24AFirst – last monthJun 2018 – Jan 2020

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Missouri

Rank by total paid#30 of 67

Median peer was paid$7K

This provider vs. median1.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	133	$6K
2019	85	$3K
2020	15	$588.36

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	89%	218	180	$9K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	11%	15	13	$1K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.