Physician
Edwards, Michael
Edwards, Michael was paid $7K by Medicaid between Dec 2021 and Mar 2023, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoEDWARDS, MICHAEL
SOUTH HAMILTON, MA 01982
SOUTH HAMILTON, MA 01982
33aNPI1386651073assigned 08/02/2006
33bProvider typeFamily Medicine Physician
28Total paid$7K
24GClaims129
24DCodes billed2
24AFirst – last monthDec 2021 – Mar 2023
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#420 of 744
Median peer was paid$10K
This provider vs. median0.7×
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 | 15 | $833.87 | |
| 2022 | 88 | $5K | |
| 2023 | 26 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 63% | 75 | 67 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 54 | 48 | $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.