Edwards, Thomas

Edwards, Thomas was paid $118K by Medicaid between Jan 2018 and Dec 2023, across 8 billing codes. Its largest line is 95004, Percutaneous tests with allergenic extracts, immediate type reaction — 32% of everything it billed.

33Billing provider infoEDWARDS, THOMAS
PITTSFIELD, MA 01201

33aNPI1740215771assigned 07/11/2006

33bProvider typeAllergy & Immunology Physician

28Total paid$118K

24GClaims3,880

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Allergy & Immunology Physician providers in Massachusetts

Rank by total paid#12 of 37

Median peer was paid$30K

This provider vs. median4.0×

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	1,092	$56K
2019	835	$20K
2020	328	$4K
2021	663	$19K
2022	485	$12K
2023	477	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95004	Percutaneous tests with allergenic extracts, immediate type reaction	32%	229	215	$37K
95117		25%	2,854	1,291	$29K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	418	390	$23K
95018		13%	272	255	$15K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	5.5%	53	53	$6K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	2.6%	15	15	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.9%	27	27	$2K
95024		1.6%	12	12	$2K

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.