Edwards, Kira

Edwards, Kira was paid $303K by Medicaid between Jan 2022 and Mar 2023, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoEDWARDS, KIRA
FALMOUTH, MA 02540

33aNPI1740470970assigned 07/25/2007

33bProvider typePediatrics Physician

28Total paid$303K

24GClaims6,875

24DCodes billed27

24AFirst – last monthJan 2022 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#217 of 1,273

Median peer was paid$24K

This provider vs. median13×

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
2022	5,476	$245K
2023	1,399	$58K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	33%	905	841	$99K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	890	836	$50K
87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	13%	280	274	$40K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	9.7%	575	534	$30K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	5.0%	192	187	$15K
87634		4.3%	206	199	$13K
90460	Immunization administration through 18 years of age via any route, first or only component	3.7%	311	310	$11K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.8%	104	103	$9K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.7%	99	99	$8K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.2%	324	323	$4K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	1.1%	379	379	$3K
90461		1.0%	109	109	$3K

15 more codes

94760		<1%	1,434	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	131	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	62	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	24	$2K
96127		<1%	188	$2K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	18	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	95	$1K
81002		<1%	308	$889.06
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	58	$744.89
92587		<1%	43	$727.02
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	21	$385.35
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	32	$350.40
99050		<1%	17	$281.52
99177		<1%	55	$204.60
90472	Immunization administration, each additional vaccine (list separately)	<1%	15	$186.96

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.