Physician
Edgar R. Mejia MD PA
Edgar R. Mejia MD PA was paid $7.51M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoEDGAR R. MEJIA MD PA
PATERSON, NJ 07513
PATERSON, NJ 07513
33aNPI1265489116assigned 05/27/2006
33bProvider typePediatrics Physician
28Total paid$7.51M
24GClaims230,125
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#20 of 549
Median peer was paid$154K
This provider vs. median49×
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 | 32,288 | $1.11M | |
| 2019 | 34,151 | $1.12M | |
| 2020 | 30,082 | $1.04M | |
| 2021 | 26,750 | $891K | |
| 2022 | 39,704 | $1.21M | |
| 2023 | 39,008 | $1.18M | |
| 2024incomplete | 28,142 | $962K |
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 | 28% | 38,860 | 34,512 | $2.09M |
| 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 | 15% | 14,491 | 13,585 | $1.14M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.4% | 8,475 | 8,451 | $633K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.7% | 7,796 | 7,767 | $581K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.7% | 7,188 | 7,159 | $580K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.7% | 15,751 | 14,699 | $577K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.1% | 23,282 | 22,578 | $533K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 5,042 | 4,955 | $342K |
| 92583 | 2.3% | 5,255 | 5,251 | $175K | |
| 92551 | 2.0% | 14,871 | 14,729 | $147K | |
| 97802 | 1.9% | 15,208 | 14,988 | $145K | |
| 90461 | 1.4% | 7,596 | 7,530 | $106K |
46 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 804 | $63K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,199 | $55K |
| 99381 | <1% | 569 | $38K | |
| 90620 | <1% | 1,269 | $33K | |
| 99173 | <1% | 17,654 | $32K | |
| 90651 | <1% | 1,675 | $31K | |
| 90670 | <1% | 3,387 | $28K | |
| 90734 | <1% | 1,646 | $26K | |
| 90649 | <1% | 758 | $26K | |
| 95930 | <1% | 394 | $21K | |
| 99383 | <1% | 208 | $17K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,017 | $15K |
| 90686 | <1% | 5,144 | $8K | |
| 92558 | <1% | 733 | $7K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 572 | $7K |
| 90656 | <1% | 1,414 | $7K | |
| 90723 | <1% | 1,760 | $6K | |
| 90633 | <1% | 1,992 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 260 | $4K |
| 3008F | <1% | 496 | $4K | |
| 90681 | <1% | 773 | $4K | |
| 90716 | <1% | 379 | $4K | |
| 90715 | <1% | 366 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 130 | $2K |
| 90710 | <1% | 292 | $2K | |
| 90700 | <1% | 733 | $2K | |
| 90648 | <1% | 3,199 | $2K | |
| 90707 | <1% | 301 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 116 | $1K |
| 83655 | <1% | 1,471 | $1K | |
| 99382 | <1% | 13 | $1K | |
| 87081 | <1% | 2,501 | $1K | |
| A7016 | Dome and mouthpiece, used with small volume ultrasonic nebulizer | <1% | 196 | $970.43 |
| 99384 | <1% | 12 | $885.20 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 27 | $563.50 |
| 90696 | <1% | 179 | $440.83 | |
| 90687 | <1% | 56 | $409.99 | |
| 81002 | <1% | 210 | $338.13 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 196 | $243.72 |
| 90713 | <1% | 74 | $200.52 | |
| 86580 | <1% | 18 | $107.01 | |
| 99091 | <1% | 1,388 | $100.00 | |
| 90657 | <1% | 71 | $42.76 | |
| 94760 | <1% | 502 | $30.65 | |
| 99071 | 0% | 122 | $0.00 | |
| 99072 | 0% | 34 | $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 officialMEJIA, EDGAR (PRESIDENT)