Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Redovan, Edward

Redovan, Edward was paid $12K by Medicaid between Jul 2021 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider infoREDOVAN, EDWARD
NEW CASTLE, PA 16101
33aNPI1164468682assigned 06/22/2006
33bProvider typeOphthalmology Physician
28Total paid$12K
24GClaims343
24DCodes billed4
24AFirst – last monthJul 2021 – Oct 2024
Compared with peers

Next to other Ophthalmology Physician providers in Pennsylvania

Rank by total paid#120 of 288
Median peer was paid$7K
This provider vs. median1.7×

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$500$1.0K$1.5K2018201920202021202220232024
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
202155$2K
202283$3K
2023149$5K
2024incomplete56$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 80% 275 274 $9K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 9.8% 30 29 $1K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8.4% 14 12 $994.10
92015 Determination of refractive state 2.0% 24 24 $232.39

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.