Tom, Edward

Tom, Edward was paid $338K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoTOM, EDWARD
BABYLON, NY 11702

33aNPI1255386405assigned 05/24/2006

33bProvider typePediatrics Physician

28Total paid$338K

24GClaims10,782

24DCodes billed18

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#498 of 1,983

Median peer was paid$17K

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	707	$25K
2019	1,407	$38K
2020	1,652	$43K
2021	1,789	$57K
2022	2,019	$71K
2023	1,813	$62K
2024incomplete	1,395	$43K

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	50%	3,231	2,939	$169K
90460	Immunization administration through 18 years of age via any route, first or only component	24%	2,605	2,512	$80K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.6%	375	373	$26K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	6.8%	315	314	$23K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.5%	252	251	$19K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.0%	110	103	$7K
92587		2.0%	374	372	$7K
90461		<1%	51	51	$2K
96160		<1%	1,331	1,145	$2K
G0270	Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes	<1%	1,224	1,220	$2K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	204	192	$1K
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	<1%	13	12	$740.31

6 more codes

0071A		<1%	12	$440.00
0001A		<1%	12	$278.10
99173		<1%	372	$175.34
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	13	$108.74
96127		<1%	55	$86.46
90686		<1%	233	$63.46

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.