Physician
Edwards Clinic, PSC
Edwards Clinic, PSC was paid $375K by Medicaid between Jan 2018 and Mar 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoEDWARDS CLINIC, PSC
MANCHESTER, KY 40962
MANCHESTER, KY 40962
33aNPI1154635407assigned 07/28/2010
33bProvider typeSurgery Physician
28Total paid$375K
24GClaims11,176
24DCodes billed14
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Surgery Physician providers in Kentucky
Rank by total paid#6 of 34
Median peer was paid$20K
This provider vs. median19×
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 | 4,199 | $101K | |
| 2019 | 2,174 | $79K | |
| 2020 | 1,810 | $73K | |
| 2021 | 1,465 | $61K | |
| 2022 | 1,093 | $39K | |
| 2023 | 421 | $21K | |
| 2024incomplete | 14 | $503.04 |
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 | 38% | 5,408 | 4,124 | $142K |
| 99243 | 20% | 1,111 | 901 | $76K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 19% | 494 | 384 | $70K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 18% | 967 | 708 | $68K |
| 93000 | 2.9% | 977 | 732 | $11K | |
| 99242 | 1.6% | 100 | 95 | $6K | |
| S2083 | Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline | <1% | 15 | 12 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 36 | 31 | $103.60 |
| 1160F | 0% | 47 | 43 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,157 | 951 | $0.00 |
| 1159F | 0% | 47 | 43 | $0.00 | |
| G8883 | Biopsy results reviewed, communicated, tracked and documented | 0% | 243 | 225 | $0.00 |
2 more codes
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.
From NPPES
Who's on the registration
Authorized officialEDWARDS, DANA (PRESIDENT)