White, Edward

White, Edward was paid $190K by Medicaid between Jan 2018 and Dec 2020, across 10 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 35% of everything it billed.

33Billing provider infoWHITE, EDWARD
NASHVILLE, TN 37203

33aNPI1124175922assigned 01/04/2007

33bProvider typeGastroenterology Physician

28Total paid$190K

24GClaims4,052

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Gastroenterology Physician providers in Tennessee

Rank by total paid#12 of 50

Median peer was paid$19K

This provider vs. median10×

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	1,450	$80K
2019	1,237	$61K
2020	1,365	$49K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	35%	1,112	1,006	$67K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	32%	711	600	$61K
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	19%	1,056	943	$36K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	5.8%	78	66	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.9%	325	306	$7K
45380	Colonoscopy, flexible; with biopsy, single or multiple	2.8%	43	37	$5K
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%	36	33	$2K
99490	Ccm add 20min	<1%	291	279	$323.93
99487	Ccm add 20min	<1%	111	106	$159.38
G2058	Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)).	<1%	289	276	$29.74

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.