Physician
Medeiros, Edward
Medeiros, Edward was paid $6.79M by Medicaid between Sep 2020 and Oct 2024, across 26 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 67% of everything it billed.
33Billing provider infoMEDEIROS, EDWARD
WARWICK, RI 02886
WARWICK, RI 02886
33aNPI1144616715assigned 04/10/2015
33bProvider typeNephrology Physician
28Total paid$6.79M
24GClaims34,089
24DCodes billed26
24AFirst – last monthSep 2020 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in Rhode Island
Rank by total paid#1 of 14
Median peer was paid$71K
This provider vs. median96×
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 | |
|---|---|---|---|
| 2020 | 966 | $258K | |
| 2021 | 8,173 | $1.89M | |
| 2022 | 8,364 | $1.71M | |
| 2023 | 10,659 | $1.91M | |
| 2024incomplete | 5,927 | $1.02M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 67% | 17,325 | 1,019 | $4.51M |
| A4657 | Syringe, with or without needle, each | 17% | 6,721 | 518 | $1.16M |
| 85018 | 3.1% | 1,604 | 471 | $207K | |
| J1644 | Injection, heparin sodium, per 1000 units | 1.6% | 631 | 36 | $109K |
| 84520 | 1.4% | 1,006 | 582 | $96K | |
| 83540 | 1.4% | 852 | 680 | $96K | |
| 83550 | 1.4% | 822 | 651 | $96K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.3% | 799 | 625 | $91K |
| 84155 | 1.3% | 733 | 594 | $86K | |
| 80069 | 1.2% | 842 | 694 | $84K | |
| J1756 | Injection, iron sucrose, 1 mg | <1% | 449 | 79 | $63K |
| 83970 | <1% | 390 | 316 | $40K |
14 more codes
| 87340 | <1% | 327 | $32K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 567 | $30K |
| J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | <1% | 119 | $19K |
| 82728 | <1% | 164 | $18K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 88 | $16K |
| 84075 | <1% | 120 | $13K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 169 | $7K |
| 84100 | <1% | 62 | $5K | |
| 82565 | <1% | 79 | $2K | |
| 86706 | <1% | 27 | $2K | |
| 80051 | <1% | 46 | $2K | |
| 82310 | <1% | 23 | $1K | |
| 86803 | <1% | 18 | $876.88 | |
| 1036F | <1% | 106 | $0.14 |
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.