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

Edge Medical Care PC

Edge Medical Care PC was paid $4.59M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoEDGE MEDICAL CARE PC
RIVERDALE, MD 20737
33aNPI1447255609assigned 06/15/2005
28Total paid$4.59M
24GClaims61,559
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in Maryland

Rank by total paid#4 of 112
Median peer was paid$200K
This provider vs. median23×

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$100K$200K2018201920202021202220232024
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
2018617$44K
2019488$32K
202015,092$982K
202117,334$1.25M
202218,676$1.49M
20235,607$482K
2024incomplete3,745$309K
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 44% 24,141 20,365 $2.02M
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 25% 10,422 9,351 $1.17M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6.3% 2,505 2,463 $291K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5.0% 1,904 1,870 $228K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.6% 2,023 1,979 $212K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 4.5% 1,662 1,571 $208K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.3% 1,000 980 $107K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.0% 482 463 $47K
90686 <1% 1,906 1,843 $43K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 942 917 $42K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 220 212 $23K
90734 <1% 970 943 $22K
25 more codes
90700 <1% 956 $22K
90651 <1% 956 $21K
90713 <1% 802 $18K
90620 <1% 613 $14K
99385 <1% 97 $13K
90648 <1% 574 $13K
90670 <1% 547 $12K
90715 <1% 433 $10K
36415 Collection of venous blood by venipuncture <1% 4,213 $10K
90716 <1% 402 $9K
90707 <1% 380 $9K
90633 <1% 286 $6K
90680 <1% 174 $4K
90744 <1% 165 $4K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 157 $3K
82962 <1% 1,769 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 173 $2K
93000 <1% 94 $1K
86580 <1% 186 $1K
2015F <1% 38 $464.50
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 37 $157.11
3008F <1% 233 $135.00
82948 <1% 65 $120.56
82947 <1% 13 $32.58
90460 Immunization administration through 18 years of age via any route, first or only component 0% 19 $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 officialEGO-OSUALA, GEORGE (PRESIDENT)