Physician
Pascual, Edwin
Pascual, Edwin was paid $1.10M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 89% of everything it billed.
33Billing provider infoPASCUAL, EDWIN
CICERO, IL 60804
CICERO, IL 60804
33aNPI1326159104assigned 08/31/2006
33bProvider typePediatrics Physician
28Total paid$1.10M
24GClaims19,556
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#129 of 1,805
Median peer was paid$55K
This provider vs. median20×
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 | 3,062 | $165K | |
| 2019 | 4,224 | $225K | |
| 2020 | 2,745 | $174K | |
| 2021 | 4,099 | $184K | |
| 2022 | 2,525 | $134K | |
| 2023 | 1,707 | $120K | |
| 2024incomplete | 1,194 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 89% | 13,163 | 9,728 | $979K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.8% | 1,514 | 1,261 | $53K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.2% | 1,821 | 1,491 | $24K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 641 | 519 | $10K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 525 | 444 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 127 | 109 | $7K |
| 99173 | <1% | 733 | 619 | $5K | |
| 0001A | <1% | 58 | 51 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 27 | 27 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 152 | 132 | $2K |
| 90649 | <1% | 96 | 73 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 20 | 20 | $2K |
8 more codes
| 90656 | <1% | 175 | $1K | |
| 92567 | <1% | 84 | $1K | |
| 90651 | <1% | 49 | $928.21 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 14 | $651.84 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 17 | $476.36 |
| 90734 | <1% | 34 | $344.55 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $297.80 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 294 | $290.06 |
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.