Breshears, Edwin

Breshears, Edwin was paid $46K by Medicaid between Jan 2018 and Jul 2020, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.

33Billing provider infoBRESHEARS, EDWIN
JEFFERSON CITY, MO 65109

33aNPI1154417178assigned 10/05/2006

33bProvider typeFamily Medicine Physician

28Total paid$46K

24GClaims1,027

24DCodes billed3

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Family Medicine Physician providers in Missouri

Rank by total paid#295 of 911

Median peer was paid$16K

This provider vs. median2.9×

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	599	$26K
2019	359	$17K
2020	69	$4K

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	87%	784	755	$40K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	7.8%	112	92	$4K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	5.3%	131	127	$2K

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.