Edwards, Charmaine

Edwards, Charmaine was paid $17K by Medicaid between Sep 2020 and Nov 2024, across 3 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 93% of everything it billed.

33Billing provider infoEDWARDS, CHARMAINE
RED BUD, IL 62278

33aNPI1972586253assigned 11/21/2005

33bProvider typeGastroenterology Physician

28Total paid$17K

24GClaims402

24DCodes billed3

24AFirst – last monthSep 2020 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#180 of 370

Median peer was paid$16K

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

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
2020	44	$1K
2021	106	$4K
2022	81	$4K
2023	71	$3K
2024incomplete	100	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	93%	378	335	$16K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	4.7%	12	12	$799.65
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.5%	12	12	$433.71

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.