Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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William C Edgerton

William C Edgerton was paid $3K by Medicaid between Jan 2018 and Sep 2018, across 14 billing codes. Its largest line is 11056, — 83% of everything it billed.

33Billing provider infoWILLIAM C EDGERTON
GLOUCESTER, MA 01930
33aNPI1174571939assigned 05/04/2006
33bProvider typePodiatrist
28Total paid$3K
24GClaims646
24DCodes billed14
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers

Next to other Podiatrist providers in Massachusetts

Rank by total paid#89 of 118
Median peer was paid$16K
This provider vs. median0.2×

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
2018646$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
11056 83% 242 242 $2K
G0127 Trimming of dystrophic nails, any number 17% 168 168 $466.45
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 13 13 $0.00
1036F 0% 21 21 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 0% 13 13 $0.00
G8410 Footwear evaluation performed and documented 0% 12 12 $0.00
1101F 0% 25 25 $0.00
3044F 0% 13 13 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 12 12 $0.00
3288F 0% 26 26 $0.00
4040F 0% 26 26 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 24 24 $0.00
2 more codes
G8482 Influenza immunization administered or previously received 0% 26 $0.00
1494F 0% 25 $0.00

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 officialEDGERTON, WILLIAM (OWNER)