Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Clairton › NPI 1558433722
Physician

Poon, Edward

Poon, Edward was paid $2K by Medicaid between Mar 2021 and Mar 2023, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoPOON, EDWARD
CLAIRTON, PA 15025
33aNPI1558433722assigned 11/14/2006
28Total paid$2K
24GClaims38
24DCodes billed2
24AFirst – last monthMar 2021 – Mar 2023
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Pennsylvania

Rank by total paid#209 of 291
Median peer was paid$7K
This provider vs. median0.2×

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$250$500$7502018201920202021202220232024
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
202113$592.55
202213$740.08
202312$364.60
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 65% 25 25 $1K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 35% 13 13 $592.55

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.