Cullen, Edward

Cullen, Edward was paid $264K by Medicaid between Jan 2018 and Feb 2023, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoCULLEN, EDWARD
CRANSTON, RI 02920

33aNPI1982713020assigned 08/30/2006

33bProvider typeEmergency Medical Services (Emergency Medicine) Physician

28Total paid$264K

24GClaims4,174

24DCodes billed5

24AFirst – last monthJan 2018 – Feb 2023

Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Rhode Island

Rank by total paid#8 of 13

Median peer was paid$280K

This provider vs. median0.9×

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	46	$2K
2019	725	$37K
2020	1,819	$125K
2021	623	$42K
2022	791	$48K
2023	170	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	54%	2,178	1,686	$142K
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed	28%	686	529	$74K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	17%	1,239	924	$44K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	1.2%	59	53	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	12	$561.24

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.