Physician
Lacar, Edanili
Lacar, Edanili was paid $284K by Medicaid between Jan 2020 and Mar 2022, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoLACAR, EDANILI
SAMMAMISH, WA 98075
SAMMAMISH, WA 98075
33aNPI1003813122assigned 07/05/2005
33bProvider typeGeneral Practice Physician
28Total paid$284K
24GClaims13,050
24DCodes billed33
24AFirst – last monthJan 2020 – Mar 2022
Compared with peers
Next to other General Practice Physician providers in Washington
Rank by total paid#8 of 26
Median peer was paid$32K
This provider vs. median8.9×
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 | |
|---|---|---|---|
| 2020 | 2,121 | $40K | |
| 2021 | 8,881 | $198K | |
| 2022 | 2,048 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 3,529 | 2,741 | $129K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 9.1% | 1,994 | 918 | $26K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.6% | 359 | 327 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.6% | 264 | 241 | $19K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 5.8% | 408 | 384 | $16K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.5% | 2,095 | 1,027 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.8% | 1,054 | 972 | $14K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.8% | 339 | 316 | $14K |
| 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 | 3.0% | 170 | 158 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 99 | 97 | $7K |
| 99000 | 1.2% | 347 | 320 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 384 | 283 | $3K |
21 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 30 | $2K |
| 90461 | <1% | 107 | $643.88 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 24 | $564.42 |
| 96160 | <1% | 290 | $474.64 | |
| 92587 | <1% | 184 | $222.82 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 30 | $211.68 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 30 | $203.84 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18 | $102.62 |
| 96161 | <1% | 28 | $65.78 | |
| 90658 | <1% | 375 | $0.02 | |
| 90657 | 0% | 49 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 160 | $0.00 |
| 90686 | 0% | 218 | $0.00 | |
| 90647 | 0% | 13 | $0.00 | |
| 96127 | 0% | 40 | $0.00 | |
| 90651 | 0% | 20 | $0.00 | |
| 90680 | 0% | 15 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 161 | $0.00 |
| 90734 | 0% | 74 | $0.00 | |
| 99173 | 0% | 123 | $0.00 | |
| 90670 | 0% | 19 | $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.