Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Downey, Edward

Downey, Edward was paid $7K by Medicaid between Jan 2018 and Dec 2018, across 7 billing codes. Its largest line is 76815, Ultrasound, pregnant uterus, real time with image documentation, limited — 65% of everything it billed.

33Billing provider infoDOWNEY, EDWARD
CHESTERFIELD, MO 63017
33aNPI1861400467assigned 08/03/2006
28Total paid$7K
24GClaims428
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers

Next to other Diagnostic Radiology Physician providers in Missouri

Rank by total paid#179 of 372
Median peer was paid$6K
This provider vs. median1.1×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2018428$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 65% 234 229 $4K
70450 Computed tomography, head or brain; without contrast material 8.0% 14 13 $535.45
76819 Fetal biophysical profile; without non-stress testing 6.8% 20 14 $454.80
71046 Radiologic examination, chest; 2 views 6.1% 59 58 $408.58
73630 4.6% 40 38 $307.56
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4.6% 12 12 $305.64
71045 Radiologic examination, chest; single view 4.4% 49 48 $292.47

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.