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NPI 1518956473 · Cambridge, OH · Internal Medicine Physician
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Edward Colby is a internal medicine physician provider located in Cambridge, Ohio. This profile covers 36 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Edward Colby |
| Address | 61353 Southgate Rd |
| City | Cambridge |
| State | OH |
| ZIP | 43725 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | October 13, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $129.1K |
| Medicaid | $0 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
36 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 440 | $80 | $33.7K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 250 | $120 | $30.8K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 220 | $50 | $10.3K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 20 | $280 | $5.1K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 630 | $10 | $5K |
| G0444 | Annual depression screening, 5 to 15 minutes | 230 | $20 | $4K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 20 | $210 | $3.6K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 240 | $10 | $3.1K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 280 | $10 | $2.8K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 350 | $10 | $2.8K |
Showing 1–10 of 36
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
36 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 82306 | 343 | 370 | 50 | $30 | $21.2K |
| 80053 | 104 | 520 | 100 | $10 | $19.6K |
| 84443 | 102 | 460 | 70 | $20 | $18.9K |
| 80061 | 83 | 480 | 110 | $10 | $18K |
| 99214 | 1,500 | 20,010 | 100 | $70 | $11.7K |
| 85025 | 119 | 610 | 110 | $10 | $11.7K |
| 82607 | 123 | 310 | 40 | $10 | $8.7K |
| 84153 | 85 | 200 | 30 | $20 | $8.1K |
| G0439 | 122 | 4,720 | 60 | $90 | $7.4K |
| G0103 | 74 | 210 | 30 | $20 | $6.7K |
Showing 1–10 of 36
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 20 | $0 | $0 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 10 | $0 | $0 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 20 | $0 | $0 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 10 | $0 | $0 |
| G9275 | Documentation that patient is a current non-tobacco user | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 593 | 630 | 500 | $1 | $20 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 176 | 180 | 700 | $1 | $1 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 168 | 170 | 640 | $1 | $1 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 120 | 130 | 390 | $1 | $1 |
| G9275 | Documentation that patient is a current non-tobacco user | 2 | 10 | 210 | $0 | $0 |
Other providers in the same ZIP code as Edward Colby, ranked by combined Medicare and Medicaid revenue.
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