Physician
Foley, Edward
Foley, Edward was paid $1.37M by Medicaid between Feb 2018 and Dec 2024, across 31 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoFOLEY, EDWARD
WASHINGTON, PA 15301
WASHINGTON, PA 15301
33aNPI1992739577assigned 07/10/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.37M
24GClaims17,650
24DCodes billed31
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Pennsylvania
Rank by total paid#4 of 44
Median peer was paid$39K
This provider vs. median35×
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 | 392 | $24K | |
| 2019 | 245 | $15K | |
| 2020 | 606 | $50K | |
| 2021 | 4,707 | $356K | |
| 2022 | 6,130 | $430K | |
| 2023 | 1,876 | $284K | |
| 2024incomplete | 3,694 | $215K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 6,501 | 5,792 | $1.37M |
| 90686 | <1% | 113 | 100 | $684.48 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 836 | 819 | $39.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 2,542 | 2,311 | $0.00 |
| 2001F | 0% | 343 | 334 | $0.00 | |
| 92551 | 0% | 1,173 | 1,170 | $0.00 | |
| 3008F | 0% | 336 | 327 | $0.00 | |
| 1111F | 0% | 233 | 222 | $0.00 | |
| 3074F | 0% | 652 | 639 | $0.00 | |
| 85018 | 0% | 13 | 13 | $0.00 | |
| 96161 | 0% | 13 | 12 | $0.00 | |
| 90723 | 0% | 15 | 15 | $0.00 |
19 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 45 | $0.00 |
| 90651 | 0% | 14 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 50 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 32 | $0.00 |
| 99173 | 0% | 1,233 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 455 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 257 | $0.00 |
| 3078F | 0% | 619 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 540 | $0.00 |
| 90734 | 0% | 39 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 18 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 112 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 13 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 385 | $0.00 |
| 1159F | 0% | 949 | $0.00 | |
| 83655 | 0% | 36 | $0.00 | |
| 90648 | 0% | 41 | $0.00 | |
| 90710 | 0% | 15 | $0.00 | |
| 90670 | 0% | 27 | $0.00 |
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.