Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Paxton, Edward

Paxton, Edward was paid $98K by Medicaid between May 2018 and Nov 2024, across 7 billing codes. Its largest line is 73030, — 45% of everything it billed.

33Billing provider infoPAXTON, EDWARD
PROVIDENCE, RI 02905
33aNPI1083805675assigned 08/07/2007
28Total paid$98K
24GClaims1,883
24DCodes billed7
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Rhode Island

Rank by total paid#11 of 44
Median peer was paid$33K
This provider vs. median3.0×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2018157$6K
2020226$9K
2021259$15K
2022446$24K
2023547$29K
2024incomplete248$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
73030 45% 1,267 1,115 $44K
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 37% 338 320 $36K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 208 194 $14K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.4% 16 12 $1K
20610 1.0% 12 12 $1K
73070 <1% 28 25 $743.86
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 14 14 $65.41

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.