Physician
Lerias, Edgar
Lerias, Edgar was paid $1.62M by Medicaid between Jan 2018 and Oct 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoLERIAS, EDGAR
DEER PARK, NY 11729
DEER PARK, NY 11729
33aNPI1033284211assigned 11/22/2006
33bProvider typePediatrics Physician
28Total paid$1.62M
24GClaims56,326
24DCodes billed38
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#203 of 1,983
Median peer was paid$17K
This provider vs. median95×
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 | 6,079 | $170K | |
| 2019 | 7,323 | $206K | |
| 2020 | 9,100 | $229K | |
| 2021 | 8,658 | $258K | |
| 2022 | 10,012 | $317K | |
| 2023 | 9,072 | $268K | |
| 2024incomplete | 6,082 | $169K |
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 | 42% | 12,077 | 10,409 | $675K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.2% | 6,816 | 6,747 | $149K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.3% | 1,901 | 1,901 | $134K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 1,919 | 1,919 | $133K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.7% | 1,934 | 1,931 | $125K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.2% | 1,524 | 1,524 | $116K |
| 92587 | 5.0% | 3,447 | 3,447 | $81K | |
| 87428 | 2.2% | 1,088 | 1,056 | $36K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2.2% | 1,849 | 1,849 | $35K |
| 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 | 1.3% | 245 | 237 | $21K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 4,737 | 4,730 | $21K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 3,700 | 3,434 | $18K |
26 more codes
| 90461 | 1.1% | 407 | $18K | |
| 96127 | <1% | 3,483 | $15K | |
| 86580 | <1% | 2,991 | $14K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 595 | $10K |
| 81000 | <1% | 3,080 | $8K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 43 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 75 | $2K |
| 99173 | <1% | 1,633 | $2K | |
| 99383 | <1% | 12 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $897.74 |
| 90686 | <1% | 1,158 | $329.91 | |
| 90651 | <1% | 87 | $290.00 | |
| 90715 | <1% | 38 | $108.15 | |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | <1% | 115 | $47.58 |
| 90672 | <1% | 31 | $19.00 | |
| 90633 | 0% | 41 | $0.00 | |
| 90670 | 0% | 409 | $0.00 | |
| 90734 | 0% | 55 | $0.00 | |
| 90710 | 0% | 80 | $0.00 | |
| 90698 | 0% | 446 | $0.00 | |
| 90656 | 0% | 17 | $0.00 | |
| 90619 | 0% | 130 | $0.00 | |
| 90680 | 0% | 62 | $0.00 | |
| 99000 | 0% | 26 | $0.00 | |
| 90744 | 0% | 26 | $0.00 | |
| 90677 | 0% | 37 | $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.