Sandoval, Edgar

Sandoval, Edgar was paid $2K by Medicaid between Jan 2018 and Jun 2022, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.

33Billing provider infoSANDOVAL, EDGAR
MIAMI BEACH, FL 33140

33aNPI1093716771assigned 08/03/2005

33bProvider typeUrology Physician

28Total paid$2K

24GClaims890

24DCodes billed5

24AFirst – last monthJan 2018 – Jun 2022

Compared with peers

Next to other Urology Physician providers in Florida

Rank by total paid#60 of 104

Median peer was paid$3K

This provider vs. median0.7×

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	162	$21.42
2019	229	$576.51
2020	273	$955.89
2021	192	$803.30
2022	34	$0.00

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	100%	317	239	$2K
81002		<1%	443	322	$4.18
51798		0%	76	63	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	40	39	$0.00
4040F		0%	14	13	$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.