Physician
Girau, Edwin
Girau, Edwin was paid $8K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 22% of everything it billed.
33Billing provider infoGIRAU, EDWIN
VEGA ALTA, PR 00692
VEGA ALTA, PR 00692
33aNPI1144228537assigned 07/11/2005
33bProvider typeGeneral Practice Physician
28Total paid$8K
24GClaims4,695
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#434 of 1,195
Median peer was paid$2K
This provider vs. median4.0×
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 | 1,005 | $25.36 | |
| 2019 | 660 | $36.50 | |
| 2020 | 643 | $512.83 | |
| 2021 | 430 | $5K | |
| 2022 | 42 | $168.99 | |
| 2023 | 1,322 | $1K | |
| 2024incomplete | 593 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 22% | 3,350 | 2,597 | $2K |
| 0012A | 21% | 44 | 43 | $2K | |
| 0011A | 18% | 38 | 33 | $1K | |
| 0002A | 8.3% | 18 | 18 | $680.00 | |
| 96160 | 6.4% | 16 | 16 | $520.00 | |
| 0001A | 6.4% | 14 | 14 | $520.00 | |
| 99441 | 5.1% | 442 | 374 | $418.76 | |
| 99442 | 4.6% | 47 | 39 | $378.93 | |
| 90656 | 3.0% | 14 | 14 | $243.04 | |
| 90686 | 2.1% | 13 | 12 | $168.99 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.7% | 28 | 26 | $135.00 |
| 99242 | 1.1% | 26 | 25 | $90.00 |
9 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 18 | $69.26 |
| G0247 | Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails | 0% | 17 | $0.00 |
| 1158F | 0% | 187 | $0.00 | |
| 0521F | 0% | 89 | $0.00 | |
| 1160F | 0% | 94 | $0.00 | |
| 2028F | 0% | 17 | $0.00 | |
| 1159F | 0% | 185 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $0.00 |
| 1126F | 0% | 24 | $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.