Hoder, Edward

Hoder, Edward was paid $44K by Medicaid between Mar 2018 and Jun 2018, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoHODER, EDWARD
BURLINGTON, MA 01803

33aNPI1801872916assigned 12/20/2005

33bProvider typePediatrics Physician

28Total paid$44K

24GClaims316

24DCodes billed5

24AFirst – last monthMar 2018 – Jun 2018

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#524 of 1,273

Median peer was paid$24K

This provider vs. median1.8×

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	316	$44K

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	51%	150	142	$23K
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	43%	86	83	$19K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.4%	33	30	$1K
99051		2.0%	29	28	$870.00
87081		<1%	18	16	$326.61

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.