Edouard, Ralph

Edouard, Ralph was paid $355K by Medicaid between Sep 2019 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoEDOUARD, RALPH
HOLLIS, NY 11423

33aNPI1598058224assigned 05/27/2011

33bProvider typePrimary Care Nurse Practitioner

28Total paid$355K

24GClaims8,840

24DCodes billed11

24AFirst – last monthSep 2019 – Nov 2024

Compared with peers

Next to other Primary Care Nurse Practitioner providers in New York

Rank by total paid#3 of 50

Median peer was paid$3K

This provider vs. median113×

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
2019	71	$5K
2020	712	$24K
2021	1,924	$63K
2022	2,783	$115K
2023	1,963	$92K
2024incomplete	1,387	$56K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	32%	1,631	888	$115K
99497		22%	1,544	824	$78K
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	17%	977	584	$62K
99490	Ccm add 20min	14%	1,435	1,426	$51K
99401		7.3%	1,910	1,051	$26K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	6.8%	696	379	$24K
G0444	Annual depression screening, 5 to 15 minutes	<1%	194	119	$318.54
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	190	110	$262.23
82948		<1%	115	75	$142.91
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	21	16	$44.44
36415	Collection of venous blood by venipuncture	<1%	127	111	$37.34

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.