Physician
Edgewood Center Pediatrics PC
Edgewood Center Pediatrics PC was paid $1.32M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoEDGEWOOD CENTER PEDIATRICS PC
COMMERCE TOWNSHIP, MI 48382
COMMERCE TOWNSHIP, MI 48382
33aNPI1295831550assigned 09/15/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.32M
24GClaims30,041
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Michigan
Rank by total paid#16 of 46
Median peer was paid$567K
This provider vs. median2.3×
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 | 3,278 | $134K | |
| 2019 | 3,341 | $132K | |
| 2020 | 3,011 | $109K | |
| 2021 | 4,053 | $174K | |
| 2022 | 4,543 | $207K | |
| 2023 | 5,586 | $282K | |
| 2024incomplete | 6,229 | $286K |
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% | 9,939 | 7,746 | $667K |
| 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 | 22% | 3,092 | 2,796 | $295K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.6% | 1,758 | 1,706 | $127K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 1,159 | 1,152 | $94K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 539 | 537 | $44K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 803 | 798 | $32K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 296 | 283 | $13K |
| 99051 | <1% | 2,301 | 2,107 | $12K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,604 | 1,554 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 69 | 69 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 293 | 220 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 381 | 360 | $5K |
32 more codes
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 123 | $3K |
| 99177 | <1% | 1,072 | $3K | |
| 36416 | <1% | 537 | $2K | |
| 96161 | <1% | 880 | $1K | |
| 96127 | <1% | 239 | $632.31 | |
| D0190 | <1% | 38 | $568.06 | |
| 99174 | <1% | 775 | $489.60 | |
| 99000 | <1% | 143 | $356.43 | |
| 99188 | <1% | 51 | $345.86 | |
| 96380 | <1% | 13 | $291.34 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 27 | $271.75 |
| 88720 | <1% | 79 | $180.56 | |
| 99050 | <1% | 62 | $180.00 | |
| 96160 | <1% | 72 | $131.44 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $66.52 |
| 81003 | <1% | 12 | $22.44 | |
| 90686 | 0% | 25 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,438 | $0.00 |
| 90680 | 0% | 173 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 696 | $0.00 |
| 90697 | 0% | 230 | $0.00 | |
| 90660 | 0% | 32 | $0.00 | |
| 91307 | 0% | 18 | $0.00 | |
| 99072 | 0% | 269 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 153 | $0.00 |
| 90633 | 0% | 28 | $0.00 | |
| 99173 | 0% | 144 | $0.00 | |
| 90671 | 0% | 326 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90661 | 0% | 59 | $0.00 | |
| 3725F | 0% | 14 | $0.00 | |
| 90672 | 0% | 55 | $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 officialGENDELMAN, BRIAN (PRESIDENT)