Edgar, Ellen

Edgar, Ellen was paid $60K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoEDGAR, ELLEN
SUNNY ISL BCH, FL 33160

33aNPI1326343625assigned 01/18/2011

33bProvider typeNeurology Physician

28Total paid$60K

24GClaims1,381

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Neurology Physician providers in Florida

Rank by total paid#49 of 159

Median peer was paid$18K

This provider vs. median3.3×

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	85	$3K
2019	601	$34K
2020	170	$5K
2021	380	$11K
2022	28	$554.95
2023	51	$3K
2024incomplete	66	$5K

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	30%	714	678	$18K
93880		17%	187	186	$10K
J0585	Injection, onabotulinumtoxina, 1 unit	15%	14	13	$9K
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	9.5%	72	72	$6K
93890		8.2%	111	106	$5K
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	7.9%	157	152	$5K
93886		7.2%	87	87	$4K
95886		5.2%	24	17	$3K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	15	12	$189.65

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.