Clinic
Edwards Family Medicine a Professional Medical Corporation
Edwards Family Medicine a Professional Medical Corporation was paid $1.96M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoEDWARDS FAMILY MEDICINE A PROFESSIONAL MEDICAL CORPORATION
JENNINGS, LA 70546
JENNINGS, LA 70546
33aNPI1619236569assigned 05/14/2012
33bProvider typeRural Health Clinic/Center
28Total paid$1.96M
24GClaims64,377
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Louisiana
Rank by total paid#85 of 160
Median peer was paid$2.26M
This provider vs. median0.9×
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 | 7,428 | $212K | |
| 2019 | 7,274 | $210K | |
| 2020 | 6,216 | $198K | |
| 2021 | 8,261 | $262K | |
| 2022 | 6,819 | $228K | |
| 2023 | 14,803 | $302K | |
| 2024incomplete | 13,576 | $549K |
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 | 44% | 34,938 | 28,281 | $862K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 36% | 12,086 | 8,626 | $706K |
| 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 | 8.3% | 4,302 | 3,687 | $164K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 1,243 | 1,076 | $70K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.1% | 3,570 | 3,027 | $41K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 382 | 326 | $22K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.1% | 1,688 | 1,483 | $22K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 391 | 357 | $15K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 492 | 393 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 135 | 117 | $9K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 78 | 72 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 242 | 192 | $6K |
29 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 115 | $6K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 356 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 539 | $4K |
| 99460 | <1% | 77 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 120 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 822 | $3K |
| 99462 | <1% | 31 | $749.40 | |
| 92551 | <1% | 91 | $638.87 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 114 | $343.86 |
| 87807 | <1% | 40 | $333.63 | |
| 99173 | <1% | 160 | $248.82 | |
| 90474 | <1% | 15 | $127.82 | |
| 81002 | <1% | 47 | $88.90 | |
| 90688 | <1% | 37 | $35.68 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 39 | $19.32 |
| 90633 | <1% | 72 | $0.07 | |
| 3288F | 0% | 382 | $0.00 | |
| 90670 | 0% | 624 | $0.00 | |
| 90662 | 0% | 16 | $0.00 | |
| 90710 | 0% | 57 | $0.00 | |
| 90648 | 0% | 25 | $0.00 | |
| 90681 | 0% | 13 | $0.00 | |
| 1101F | 0% | 377 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 339 | $0.00 |
| 99217 | 0% | 12 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 108 | $0.00 |
| 90698 | 0% | 39 | $0.00 | |
| 90686 | 0% | 151 | $0.00 | |
| 90723 | 0% | 12 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialEDWARDS, RICHARD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Easter Seals Ucp North Carolina & Virginia, INC. | Morganton, NC | $9.07M |
| Easter Seals Ucp North Carolina & Virginia, INC. | Durham, NC | $8.29M |
| Easter Seals Ucp North Carolina & Virginia, INC. | Lillington, NC | $8.07M |
| Easter Seals Ucp North Carolina & Virginia, INC. | Charlotte, NC | $778K |
| Easter Seals Ucp North Carolina & Virginia, INC. | Greenville, NC | $221K |
| Easter Seals Ucp North Carolina & Virginia, INC. | Raleigh, NC | $112K |
| Life Support Systems INC | Clearwater, FL | $32K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.