Edgerly, Donald

Edgerly, Donald was paid $66K by Medicaid between Jan 2018 and Feb 2020, across 6 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 49% of everything it billed.

33Billing provider infoEDGERLY, DONALD
WEST MEMPHIS, AR 72301

33aNPI1750368759assigned 12/30/2005

33bProvider typeFamily Medicine Physician

28Total paid$66K

24GClaims1,570

24DCodes billed6

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Family Medicine Physician providers in Arkansas

Rank by total paid#224 of 437

Median peer was paid$70K

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	703	$33K
2019	843	$32K
2020	24	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	49%	659	623	$32K
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	48%	709	644	$32K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.8%	39	38	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.2%	100	97	$762.66
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	51	51	$349.90
81003		<1%	12	12	$11.50

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.