Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Peabody › NPI 1710977434
Physician

Bailey, Edward

Bailey, Edward was paid $102K by Medicaid between Mar 2018 and Mar 2020, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoBAILEY, EDWARD
PEABODY, MA 01960
33aNPI1710977434assigned 10/25/2005
33bProvider typePediatrics Physician
28Total paid$102K
24GClaims2,725
24DCodes billed15
24AFirst – last monthMar 2018 – Mar 2020
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#397 of 1,273
Median peer was paid$24K
This provider vs. median4.3×

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$5.0K$10K2018201920202021202220232024
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
20181,223$42K
20191,147$45K
2020355$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40% 719 707 $41K
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 28% 336 325 $28K
90460 Immunization administration through 18 years of age via any route, first or only component 13% 514 324 $13K
99050 4.4% 271 266 $4K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 3.8% 431 430 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3.0% 40 40 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.0% 24 24 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.8% 68 68 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.0% 100 98 $1K
90461 <1% 26 26 $895.44
96127 <1% 70 70 $718.90
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 35 35 $715.75
3 more codes
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 63 $492.67
36416 <1% 13 $262.50
94760 <1% 15 $37.95

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.