Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Parma › NPI 1154438257
Physician

Edwards, James

Edwards, James was paid $1K by Medicaid between Jan 2021 and May 2022, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 94% of everything it billed.

33Billing provider infoEDWARDS, JAMES
PARMA, OH 44129
33aNPI1154438257assigned 08/24/2006
33bProvider typeOphthalmology Physician
28Total paid$1K
24GClaims69
24DCodes billed2
24AFirst – last monthJan 2021 – May 2022
Compared with peers

Next to other Ophthalmology Physician providers in Ohio

Rank by total paid#116 of 155
Median peer was paid$10K
This provider vs. median0.1×

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

$0$200$400$6002018201920202021202220232024
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
202114$62.49
202255$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 94% 25 25 $1K
92015 Determination of refractive state 5.7% 44 44 $62.49

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.