Concepcion, Edgardo

Concepcion, Edgardo was paid $157K by Medicaid between Jan 2018 and Sep 2022, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 77% of everything it billed.

33Billing provider infoCONCEPCION, EDGARDO
LAFAYETTE, LA 70506

33aNPI1326123415assigned 10/26/2006

33bProvider typePsychiatry Physician

28Total paid$157K

24GClaims2,679

24DCodes billed5

24AFirst – last monthJan 2018 – Sep 2022

Compared with peers

Next to other Psychiatry Physician providers in Louisiana

Rank by total paid#39 of 114

Median peer was paid$65K

This provider vs. median2.4×

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	1,504	$86K
2019	560	$33K
2020	353	$22K
2021	206	$12K
2022	56	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	77%	1,973	1,359	$120K
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	9.5%	254	215	$15K
99238	Hospital discharge day management, 30 minutes or less	7.7%	303	272	$12K
99222	Initial hospital care, per day, moderate complexity	5.8%	135	117	$9K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	14	13	$574.08

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.