Physician
Thomas L Edwards DO INC
Thomas L Edwards DO INC was paid $84K by Medicaid between Jan 2018 and Sep 2024, across 14 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 63% of everything it billed.
33Billing provider infoTHOMAS L EDWARDS DO INC
SAN ANTONIO, FL 33576
SAN ANTONIO, FL 33576
33aNPI1447439229assigned 10/30/2007
33bProvider typeGeriatric Medicine (Family Medicine) Physician
28Total paid$84K
24GClaims21,289
24DCodes billed14
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Geriatric Medicine (Family Medicine) Physician providers in Florida
Rank by total paid#8 of 38
Median peer was paid$15K
This provider vs. median5.8×
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 | |
|---|---|---|---|
| 2018 | 1,363 | $774.54 | |
| 2019 | 3,960 | $4K | |
| 2020 | 5,487 | $17K | |
| 2021 | 2,580 | $9K | |
| 2022 | 2,877 | $11K | |
| 2023 | 3,327 | $34K | |
| 2024incomplete | 1,695 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 63% | 8,037 | 5,483 | $53K |
| 99490 | Ccm add 20min | 25% | 6,970 | 4,422 | $21K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 6.2% | 1,357 | 982 | $5K |
| 99310 | Prolong nursin fac eval 15m | 2.7% | 341 | 227 | $2K |
| 99306 | Prolong nursin fac eval 15m | 1.9% | 189 | 145 | $2K |
| 99439 | <1% | 926 | 551 | $721.52 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 371 | 290 | $282.72 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 245 | 194 | $250.00 |
| 99487 | Ccm add 20min | <1% | 488 | 342 | $158.42 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 251 | 193 | $121.95 |
| 99305 | <1% | 18 | 12 | $119.93 | |
| 99318 | <1% | 75 | 57 | $19.44 |
2 more codes
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 officialEDWARDS, THOMAS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Berkshire Allergy Care, P.C. | Pittsfield, MA | $1.64M |
| Hope Health Center INC | Fairfield, AL | $281K |
| Thomasj Edwards DDS INC | Zanesville, OH | $466.18 |
| Thomas E. Edwards, O.D. INC | Brookville, IN | $100.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.