Edmondson, Luke

Edmondson, Luke was paid $14K by Medicaid between Jul 2019 and Sep 2019, across 6 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 28% of everything it billed.

33Billing provider infoEDMONDSON, LUKE
CHARLESTON, SC 29425

33aNPI1952695017assigned 06/07/2011

33bProvider typeHospitalist Physician

28Total paid$14K

24GClaims204

24DCodes billed6

24AFirst – last monthJul 2019 – Sep 2019

Compared with peers

Next to other Hospitalist Physician providers in South Carolina

Rank by total paid#15 of 21

Median peer was paid$87K

This provider vs. median0.2×

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
2019	204	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	28%	49	49	$4K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	24%	39	39	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	63	61	$3K
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	17%	28	24	$2K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.8%	12	12	$967.64
90460	Immunization administration through 18 years of age via any route, first or only component	1.2%	13	13	$164.93

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.