Edwards, Randy

Edwards, Randy was paid $67K by Medicaid between Oct 2020 and Dec 2022, across 4 billing codes. Its largest line is 99283, emergency room visit (moderate) — 89% of everything it billed.

33Billing provider infoEDWARDS, RANDY
EDINBORO, PA 16412

33aNPI1457316481assigned 04/20/2006

33bProvider typeFamily Medicine Physician

28Total paid$67K

24GClaims1,854

24DCodes billed4

24AFirst – last monthOct 2020 – Dec 2022

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#804 of 2,756

Median peer was paid$19K

This provider vs. median3.5×

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
2020	131	$5K
2021	758	$27K
2022	965	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	89%	1,663	1,622	$60K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	6.3%	89	85	$4K
99282	Emergency department visit for the evaluation and management, low to moderate severity	3.6%	85	85	$2K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	1.2%	17	16	$775.00

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.