Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Serra, Edgar

Serra, Edgar was paid $15K by Medicaid between Jan 2018 and Feb 2021, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoSERRA, EDGAR
AGUADILLA, PR 00603
33aNPI1053416404assigned 09/13/2006
33bProvider typeSurgery Physician
28Total paid$15K
24GClaims703
24DCodes billed2
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#63 of 111
Median peer was paid$28K
This provider vs. median0.5×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2018639$13K
202032$986.37
202132$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 433 333 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 44% 270 218 $7K

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.