Edwardo M Yambo MD PC

Edwardo M Yambo MD PC was paid $228K by Medicaid between Jan 2018 and Jan 2019, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoEDWARDO M YAMBO MD PC
BAY SHORE, NY 11706

33aNPI1194829754assigned 09/12/2006

33bProvider typeAdult Medicine Physician

28Total paid$228K

24GClaims7,555

24DCodes billed21

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other Adult Medicine Physician providers in New York

Rank by total paid#7 of 54

Median peer was paid$23K

This provider vs. median9.8×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (05/20/2020).

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	7,328	$223K
2019	227	$4K

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	60%	2,282	1,904	$138K
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	8.9%	235	229	$20K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	6.8%	167	167	$15K
94010		6.3%	494	488	$14K
92553		5.2%	427	425	$12K
93000		3.4%	514	508	$8K
99401		2.9%	242	220	$7K
99406		1.3%	241	232	$3K
81002		1.3%	1,355	1,224	$3K
82947		<1%	534	425	$2K
99173		<1%	113	111	$1K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	14	14	$1K

9 more codes

36415	Collection of venous blood by venipuncture	<1%	607	$1K
99203	Doctor's office visit, new patient (routine)	<1%	15	$899.98
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	27	$598.51
81025		<1%	98	$476.52
96127		<1%	102	$396.78
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	19	$373.32
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	13	$179.32
82948		<1%	18	$45.80
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	38	$3.12

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 officialYAMBO, EDWARDO (OWNER)