Physician
Edgar Zambrano D.O, P.A
Edgar Zambrano D.O, P.A was paid $28K by Medicaid between Jul 2018 and Nov 2024, across 3 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 98% of everything it billed.
33Billing provider infoEDGAR ZAMBRANO D.O, P.A
MT PLEASANT, TX 75455
MT PLEASANT, TX 75455
33aNPI1336302256assigned 07/10/2008
33bProvider typeSurgery Physician
28Total paid$28K
24GClaims1,691
24DCodes billed3
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other Surgery Physician providers in Texas
Rank by total paid#29 of 98
Median peer was paid$8K
This provider vs. median3.4×
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 | 123 | $357.60 | |
| 2023 | 795 | $11K | |
| 2024incomplete | 773 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 98% | 1,637 | 597 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 34 | 27 | $541.12 |
| 97597 | <1% | 20 | 14 | $143.06 |
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.
From NPPES
Who's on the registration
Authorized officialZAMBRANO, EDGAR (CEO)