Physician
Galloza Serrano, Edgardo
Galloza Serrano, Edgardo was paid $20K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoGALLOZA SERRANO, EDGARDO
AGUADA, PR 00602
AGUADA, PR 00602
33aNPI1053339879assigned 07/18/2006
33bProvider typePediatrics Physician
28Total paid$20K
24GClaims13,166
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Puerto Rico
Rank by total paid#73 of 194
Median peer was paid$7K
This provider vs. median3.0×
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 | 364 | $0.00 | |
| 2019 | 1,104 | $0.00 | |
| 2020 | 1,117 | $804.88 | |
| 2021 | 2,531 | $6K | |
| 2022 | 3,056 | $2K | |
| 2023 | 2,962 | $5K | |
| 2024incomplete | 2,032 | $7K |
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 | 59% | 9,580 | 8,452 | $12K |
| 99441 | 37% | 3,398 | 2,919 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4.4% | 27 | 27 | $900.00 |
| 99383 | 0% | 13 | 12 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 55 | 53 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 93 | 78 | $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.