Physician
Edge-Md Holding PLLC
Edge-Md Holding PLLC was paid $416K by Medicaid between Jun 2019 and Feb 2022, across 41 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 36% of everything it billed.
33Billing provider infoEDGE-MD HOLDING PLLC
IRVING, TX 75038
IRVING, TX 75038
33aNPI1285086397assigned 07/13/2016
33bProvider typeFamily Medicine Physician
28Total paid$416K
24GClaims7,845
24DCodes billed41
24AFirst – last monthJun 2019 – Feb 2022
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#200 of 1,204
Median peer was paid$31K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2019 | 17 | $109.01 | |
| 2020 | 955 | $16K | |
| 2021 | 6,433 | $380K | |
| 2022 | 440 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 36% | 578 | 576 | $151K |
| 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 | 17% | 1,725 | 1,407 | $70K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 16% | 212 | 197 | $67K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 855 | 746 | $27K |
| 93970 | 3.4% | 141 | 126 | $14K | |
| 93923 | 2.7% | 268 | 216 | $11K | |
| 99000 | 2.3% | 1,168 | 1,081 | $10K | |
| 93880 | 2.3% | 72 | 72 | $10K | |
| 93925 | 1.9% | 66 | 57 | $8K | |
| 95816 | 1.8% | 31 | 31 | $7K | |
| 99385 | 1.6% | 96 | 94 | $7K | |
| 95957 | 1.4% | 32 | 31 | $6K |
29 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 49 | $4K |
| 95923 | <1% | 48 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 37 | $2K |
| 86328 | <1% | 23 | $2K | |
| 92653 | <1% | 31 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 27 | $2K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 17 | $2K |
| 93930 | <1% | 13 | $2K | |
| 96132 | <1% | 32 | $2K | |
| 95924 | <1% | 22 | $1K | |
| 95117 | <1% | 252 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 31 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 52 | $961.82 |
| 95943 | <1% | 20 | $943.98 | |
| 95930 | <1% | 31 | $849.40 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 62 | $823.18 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 244 | $801.60 |
| 92650 | <1% | 31 | $560.76 | |
| 81002 | <1% | 279 | $379.87 | |
| 90756 | <1% | 15 | $251.10 | |
| 93040 | <1% | 31 | $243.10 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $142.07 |
| 93000 | <1% | 22 | $103.40 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $98.49 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,107 | $88.20 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $78.40 |
| 93922 | <1% | 20 | $67.18 | |
| 96138 | 0% | 32 | $0.00 | |
| 96139 | 0% | 32 | $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 officialNGUYEN, NATHAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Nathan Nguyen, MD, PA | Wharton, TX | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.