Edacheril, Gloria Michelle

Edacheril, Gloria Michelle was paid $16K by Medicaid between Aug 2018 and Mar 2020, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 98% of everything it billed.

33Billing provider infoEDACHERIL, GLORIA MICHELLE
O FALLON, MO 63368

33aNPI1144502253assigned 09/14/2011

33bProvider typeNurse Practitioner

28Total paid$16K

24GClaims312

24DCodes billed2

24AFirst – last monthAug 2018 – Mar 2020

Compared with peers

Next to other Nurse Practitioner providers in Missouri

Rank by total paid#102 of 211

Median peer was paid$14K

This provider vs. median1.1×

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	50	$3K
2019	217	$11K
2020	45	$2K

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	98%	299	280	$16K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.5%	13	13	$240.63

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.