Hernandez, Edward

Hernandez, Edward was paid $74K by Medicaid between Jan 2018 and Jul 2023, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 53% of everything it billed.

33Billing provider infoHERNANDEZ, EDWARD
ALHAMBRA, CA 91801

33aNPI1386710150assigned 11/25/2006

33bProvider typeEmergency Medicine Physician

28Total paid$74K

24GClaims1,088

24DCodes billed3

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#403 of 988

Median peer was paid$32K

This provider vs. median2.3×

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	341	$21K
2019	245	$17K
2020	170	$12K
2021	64	$5K
2022	178	$12K
2023	90	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	53%	569	564	$39K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	31%	247	242	$23K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	16%	272	269	$12K

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.