Physician
Edwards, Bethany
Edwards, Bethany was paid $749K by Medicaid between Apr 2018 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoEDWARDS, BETHANY
PITTSBURGH, PA 15203
PITTSBURGH, PA 15203
33aNPI1497048201assigned 05/26/2011
33bProvider typeEmergency Medicine Physician
28Total paid$749K
24GClaims13,176
24DCodes billed16
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Pennsylvania
Rank by total paid#51 of 1,211
Median peer was paid$19K
This provider vs. median38×
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 | 137 | $12K | |
| 2019 | 99 | $8K | |
| 2020 | 405 | $19K | |
| 2021 | 4,109 | $209K | |
| 2022 | 2,969 | $172K | |
| 2023 | 2,569 | $165K | |
| 2024incomplete | 2,888 | $163K |
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 | 27% | 2,456 | 2,356 | $199K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 23% | 5,534 | 5,306 | $171K |
| 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 | 18% | 1,103 | 1,096 | $132K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.2% | 1,192 | 1,147 | $69K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.1% | 853 | 849 | $68K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 7.0% | 459 | 457 | $52K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.7% | 309 | 308 | $13K |
| 99422 | 1.6% | 226 | 223 | $12K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 98 | 97 | $11K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.3% | 237 | 234 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.3% | 440 | 427 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 199 | 190 | $3K |
4 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.