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

Edward Medical Group, INC

Edward Medical Group, INC was paid $124K by Medicaid between Jan 2018 and Oct 2024, across 33 billing codes. Its largest line is 99454, — 26% of everything it billed.

33Billing provider infoEDWARD MEDICAL GROUP, INC
GARDEN GROVE, CA 92840
33aNPI1275627986assigned 10/03/2006
28Total paid$124K
24GClaims42,759
24DCodes billed33
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#550 of 2,511
Median peer was paid$13K
This provider vs. median9.6×

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$5.0K$10K2018201920202021202220232024
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
20187,064$20K
20193,175$15K
202011,226$25K
20216,368$3K
20228,147$17K
20234,979$26K
2024incomplete1,800$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99454 26% 5,333 5,327 $33K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 24% 973 967 $30K
99457 15% 4,521 4,516 $19K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.0% 9,789 7,076 $11K
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 8.1% 4,896 4,213 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5.0% 3,580 3,049 $6K
93880 4.1% 1,399 1,392 $5K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 2.6% 221 221 $3K
76700 Ultrasound, abdominal, real time with image documentation; complete 1.9% 1,166 1,157 $2K
93000 1.5% 673 626 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,340 1,204 $553.81
99497 <1% 195 195 $534.96
21 more codes
99453 <1% 152 $340.87
J0697 Injection, sterile cefuroxime sodium, per 750 mg <1% 192 $161.83
36415 Collection of venous blood by venipuncture <1% 4,796 $113.82
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 158 $99.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 17 $63.98
J1030 Injection, methylprednisolone acetate, 40 mg <1% 110 $55.69
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 15 $52.52
81003 <1% 1,193 $43.41
G0008 Administration of influenza virus vaccine <1% 687 $25.15
90756 <1% 467 $19.23
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 15 $19.17
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 41 $8.18
20550 <1% 55 $6.82
90688 <1% 88 $2.94
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 16 $2.64
82962 <1% 201 $2.00
90674 <1% 131 $1.07
83036 Hemoglobin; glycosylated (A1C) <1% 191 $0.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 63 $0.00
80061 Lipid panel 0% 61 $0.00
76872 0% 24 $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 officialPYUNE, EDDIE (PRESIDENT)