Edwards, William

Edwards, William was paid $79K by Medicaid between Jan 2018 and Dec 2020, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.

33Billing provider infoEDWARDS, WILLIAM
DOVER, TN 37058

33aNPI1861504581assigned 08/31/2006

33bProvider typeFamily Nurse Practitioner

28Total paid$79K

24GClaims2,291

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#167 of 687

Median peer was paid$15K

This provider vs. median5.4×

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	878	$31K
2019	780	$27K
2020	633	$21K

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	69%	1,434	1,259	$55K
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	20%	300	270	$16K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	8.1%	451	416	$6K
90460	Immunization administration through 18 years of age via any route, first or only component	1.6%	39	24	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.2%	67	62	$986.64

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.