Clarke, Edwina

Clarke, Edwina was paid $11K by Medicaid between Sep 2023 and Nov 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoCLARKE, EDWINA
WARREN, PA 16365

33aNPI1619360351assigned 03/05/2015

33bProvider typePediatrics Physician

28Total paid$11K

24GClaims505

24DCodes billed10

24AFirst – last monthSep 2023 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#866 of 1,257

Median peer was paid$45K

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

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
2023	300	$6K
2024incomplete	205	$5K

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	75%	238	233	$8K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.1%	13	13	$991.00
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	5.6%	16	16	$603.50
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.6%	13	13	$503.50
92551		2.3%	57	57	$253.21
99173		1.9%	53	53	$208.00
94760		<1%	30	29	$66.64
96127		<1%	35	35	$31.30
90686		0%	16	16	$0.00
96160		0%	34	34	$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.