Carmouche, Edwin

Carmouche, Edwin was paid $20K by Medicaid between Mar 2018 and Oct 2024, across 2 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 97% of everything it billed.

33Billing provider infoCARMOUCHE, EDWIN
LOUISVILLE, KY 40207

33aNPI1649468083assigned 10/11/2007

33bProvider typePulmonary Disease Physician

28Total paid$20K

24GClaims725

24DCodes billed2

24AFirst – last monthMar 2018 – Oct 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Kentucky

Rank by total paid#9 of 16

Median peer was paid$20K

This provider vs. median1.0×

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	68	$2K
2019	22	$663.17
2020	133	$5K
2021	168	$4K
2022	178	$4K
2023	83	$2K
2024incomplete	73	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	97%	685	414	$20K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.4%	40	30	$680.51

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.