Lyons, Edward

Lyons, Edward was paid $111K by Medicaid between Mar 2018 and Apr 2021, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoLYONS, EDWARD
PROVIDENCE, RI 02906

33aNPI1053499178assigned 11/02/2006

33bProvider typePsychiatric/Mental Health Nurse Practitioner

28Total paid$111K

24GClaims2,795

24DCodes billed3

24AFirst – last monthMar 2018 – Apr 2021

Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Rhode Island

Rank by total paid#26 of 76

Median peer was paid$42K

This provider vs. median2.7×

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	651	$24K
2019	43	$3K
2020	1,560	$62K
2021	541	$23K

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	75%	1,826	1,616	$83K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	25%	955	906	$27K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	14	14	$618.80

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.