Stafford, Edward

Stafford, Edward was paid $8K by Medicaid between Jan 2021 and Dec 2023, across 2 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 57% of everything it billed.

33Billing provider infoSTAFFORD, EDWARD
WASHINGTON, PA 15301

33aNPI1356499081assigned 01/08/2007

33bProvider typeOtolaryngology Physician

28Total paid$8K

24GClaims182

24DCodes billed2

24AFirst – last monthJan 2021 – Dec 2023

Compared with peers

Next to other Otolaryngology Physician providers in Pennsylvania

Rank by total paid#83 of 136

Median peer was paid$13K

This provider vs. median0.6×

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

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
2021	41	$2K
2022	70	$3K
2023	71	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	57%	57	57	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	43%	125	122	$3K

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.