Physician
Robert W Edwards III MD INC
Robert W Edwards III MD INC was paid $1.72M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoROBERT W EDWARDS III MD INC
PRINCETON, WV 24740
PRINCETON, WV 24740
33aNPI1245338516assigned 09/20/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$1.72M
24GClaims38,194
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in West Virginia
Rank by total paid#7 of 40
Median peer was paid$84K
This provider vs. median20×
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 | 4,783 | $247K | |
| 2019 | 2,256 | $100K | |
| 2020 | 6,769 | $311K | |
| 2021 | 6,400 | $262K | |
| 2022 | 6,972 | $310K | |
| 2023 | 6,204 | $293K | |
| 2024incomplete | 4,810 | $196K |
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 | 52% | 13,207 | 8,998 | $899K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 14% | 3,313 | 2,862 | $233K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 8.4% | 208 | 196 | $144K |
| 81002 | 6.8% | 14,239 | 8,563 | $117K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.4% | 959 | 937 | $75K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 3.8% | 597 | 558 | $66K |
| 59430 | 2.0% | 205 | 203 | $35K | |
| 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 | 2.0% | 481 | 452 | $34K |
| 36415 | Collection of venous blood by venipuncture | 1.9% | 3,662 | 3,301 | $32K |
| 76828 | 1.4% | 556 | 520 | $25K | |
| 76830 | Ultrasound, transvaginal | 1.0% | 217 | 207 | $17K |
| 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 | 1.0% | 182 | 179 | $17K |
7 more codes
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 98 | $8K |
| 76801 | <1% | 103 | $7K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 81 | $5K |
| 81025 | <1% | 48 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $1K |
| 54150 | <1% | 12 | $772.75 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $98.27 |
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, ROBERT (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Lee Carlson Center for Mental Health and Well Being | Fridley, MN | $9.44M |
| Edwards Premier Dental Care, LLC | Baton Rouge, LA | $2.02M |
| Edwards Premier Dental Care and Implant Center | Baton Rouge, LA | $77K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.