Enriquez, Edgar

Enriquez, Edgar was paid $215K by Medicaid between May 2018 and Aug 2024, across 5 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 83% of everything it billed.

33Billing provider infoENRIQUEZ, EDGAR
VALENCIA, CA 91355

33aNPI1376632547assigned 10/12/2006

33bProvider typeSurgery Physician

28Total paid$215K

24GClaims2,765

24DCodes billed5

24AFirst – last monthMay 2018 – Aug 2024

Compared with peers

Next to other Surgery Physician providers in California

Rank by total paid#80 of 437

Median peer was paid$23K

This provider vs. median9.4×

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	61	$5K
2019	358	$33K
2020	378	$19K
2021	451	$36K
2022	658	$53K
2023	562	$47K
2024incomplete	297	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	83%	1,789	1,475	$178K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	16%	896	718	$34K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	55	45	$2K
99223	Prolong inpt eval add15 m	<1%	12	12	$743.33
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	13	13	$293.97

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.