Reason, Edward

Reason, Edward was paid $130K by Medicaid between Jan 2018 and Aug 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.

33Billing provider infoREASON, EDWARD
GOUVERNEUR, NY 13642

33aNPI1033233879assigned 03/19/2007

33bProvider typeInternal Medicine Physician

28Total paid$130K

24GClaims3,266

24DCodes billed4

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#1,105 of 6,049

Median peer was paid$11K

This provider vs. median11×

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	481	$13K
2019	613	$19K
2020	783	$35K
2021	608	$27K
2022	145	$2K
2023	367	$20K
2024incomplete	269	$13K

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	93%	3,051	2,806	$121K
99442		2.8%	79	67	$4K
99441		2.7%	109	102	$4K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1.6%	27	27	$2K

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.