NP / PA
Edkins, Lori
Edkins, Lori was paid $68K by Medicaid between Mar 2021 and Sep 2024, across 3 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 90% of everything it billed.
33Billing provider infoEDKINS, LORI
MONONGAHELA, PA 15063
MONONGAHELA, PA 15063
33aNPI1356625909assigned 09/30/2011
33bProvider typePhysician Assistant
28Total paid$68K
24GClaims374
24DCodes billed3
24AFirst – last monthMar 2021 – Sep 2024
Compared with peers
Next to other Physician Assistant providers in Pennsylvania
Rank by total paid#81 of 511
Median peer was paid$7K
This provider vs. median10×
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 | 205 | $24K | |
| 2022 | 59 | $13K | |
| 2023 | 85 | $23K | |
| 2024incomplete | 25 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 90% | 221 | 221 | $61K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 8.0% | 126 | 105 | $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 | 2.4% | 27 | 27 | $2K |
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.