Edgar E. Fernandez MD PA

Edgar E. Fernandez MD PA was paid $25K by Medicaid between Jun 2019 and Nov 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoEDGAR E. FERNANDEZ MD PA
EL PASO, TX 79936

33aNPI1043612526assigned 09/16/2014

33bProvider typeOrthopaedic Surgery Physician

28Total paid$25K

24GClaims762

24DCodes billed2

24AFirst – last monthJun 2019 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Texas

Rank by total paid#39 of 105

Median peer was paid$11K

This provider vs. median2.2×

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
2019	14	$259.38
2020	15	$449.08
2021	341	$11K
2022	163	$4K
2023	56	$3K
2024incomplete	173	$6K

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	56%	602	523	$14K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	44%	160	154	$11K

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.

From NPPES

Who's on the registration

Authorized officialFERNANDEZ, EDGAR (DIRECTOR)