Physician
Edgardo G Binoya MD a Professional Corporation
Edgardo G Binoya MD a Professional Corporation was paid $20K by Medicaid between Jan 2018 and Dec 2020, across 14 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 44% of everything it billed.
33Billing provider infoEDGARDO G BINOYA MD A PROFESSIONAL CORPORATION
BELLFLOWER, CA 90706
BELLFLOWER, CA 90706
33aNPI1063629285assigned 05/17/2007
33bProvider typeGeneral Practice Physician
28Total paid$20K
24GClaims1,592
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other General Practice Physician providers in California
Rank by total paid#197 of 474
Median peer was paid$10K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2018 | 637 | $3K | |
| 2019 | 457 | $8K | |
| 2020 | 498 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 44% | 451 | 435 | $9K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 26% | 309 | 281 | $5K |
| 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 | 17% | 303 | 297 | $3K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.3% | 117 | 30 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.4% | 16 | 16 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 33 | 31 | $107.92 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 24 | 24 | $94.58 |
| 1159F | 0% | 35 | 34 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 16 | 16 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 208 | 199 | $0.00 |
| 1160F | 0% | 36 | 35 | $0.00 | |
| 3008F | 0% | 16 | 16 | $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.
From NPPES
Who's on the registration
Authorized officialBINOYA, EDGARDO (PRESIDENT)