Edwards, William

Edwards, William was paid $5K by Medicaid between Feb 2021 and Oct 2023, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoEDWARDS, WILLIAM
FRANKLIN, PA 16323

33aNPI1760460406assigned 01/04/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$5K

24GClaims353

24DCodes billed4

24AFirst – last monthFeb 2021 – Oct 2023

Compared with peers

Next to other Cardiovascular Disease Physician providers in Pennsylvania

Rank by total paid#250 of 592

Median peer was paid$3K

This provider vs. median1.6×

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
2021	213	$3K
2022	126	$1K
2023	14	$359.16

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41%	99	93	$2K
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	25%	43	41	$1K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	25%	179	168	$1K
93000		9.1%	32	32	$458.41

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.