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

Edward P. Laurance, M.D., INC

Edward P. Laurance, M.D., INC was paid $2.85M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 52% of everything it billed.

33Billing provider infoEDWARD P. LAURANCE, M.D., INC
SIERRA MADRE, CA 91024
33aNPI1225422033assigned 03/19/2015
28Total paid$2.85M
24GClaims37,134
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Gastroenterology Physician providers in California

Rank by total paid#23 of 363
Median peer was paid$55K
This provider vs. median52×

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$25K$50K$75K2018201920202021202220232024
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
20182,287$117K
20193,433$288K
20204,151$352K
20216,861$567K
20227,936$642K
20237,660$564K
2024incomplete4,806$326K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 52% 19,754 18,759 $1.50M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 11,474 10,926 $714K
99205 Prolong outpt/office vis 16% 4,477 4,473 $448K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 6.0% 1,176 1,168 $171K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 36 30 $9K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 128 42 $6K
99223 Prolong inpt eval add15 m <1% 56 54 $5K
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 <1% 15 15 $2K
99243 <1% 18 18 $1K

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 officialBIBB, KIMBERLY (OFFICE MANAGER)