Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Edgewood Center Otolaryngology, PC

Edgewood Center Otolaryngology, PC was paid $163K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoEDGEWOOD CENTER OTOLARYNGOLOGY, PC
COMMERCE TWP, MI 48382
33aNPI1396873402assigned 03/01/2007
33bProvider typeOtolaryngology Physician
28Total paid$163K
24GClaims5,495
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Otolaryngology Physician providers in Michigan

Rank by total paid#19 of 31
Median peer was paid$294K
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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20181,057$31K
2019913$24K
2020566$14K
2021761$23K
2022789$23K
2023955$33K
2024incomplete454$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52% 1,809 1,727 $85K
92557 13% 1,020 1,000 $22K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11% 297 296 $18K
92567 11% 1,900 1,858 $17K
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 7.0% 121 121 $11K
92553 4.9% 319 314 $8K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 12 12 $1K
99072 0% 17 16 $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 officialYERMAN, HOWARD (PRESIDENT)