Physician
Flores-Castillo, Edgar
Flores-Castillo, Edgar was paid $167K by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 70% of everything it billed.
33Billing provider infoFLORES-CASTILLO, EDGAR
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1396715850assigned 01/25/2006
33bProvider typePediatrics Physician
28Total paid$167K
24GClaims91,622
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#609 of 1,983
Median peer was paid$17K
This provider vs. median9.8×
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 | 8,191 | $10K | |
| 2019 | 16,257 | $16K | |
| 2020 | 15,988 | $16K | |
| 2021 | 16,911 | $18K | |
| 2022 | 15,999 | $21K | |
| 2023 | 10,364 | $48K | |
| 2024incomplete | 7,912 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 70% | 7,952 | 7,913 | $117K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 7,135 | 6,624 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.4% | 1,432 | 1,398 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 3,201 | 3,195 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 3,146 | 3,138 | $5K |
| 99188 | 2.9% | 1,881 | 1,880 | $5K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.9% | 2,112 | 2,109 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 2,007 | 1,933 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 769 | 769 | $2K |
| 92551 | <1% | 9,410 | 9,396 | $1K | |
| 90658 | <1% | 139 | 138 | $1K | |
| 90686 | <1% | 4,239 | 4,230 | $1K |
39 more codes
| H0001 | Alcohol and/or drug assessment | <1% | 3,616 | $630.02 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 325 | $315.85 |
| 90660 | <1% | 12 | $248.82 | |
| 90461 | <1% | 2,062 | $221.22 | |
| 97802 | <1% | 2,196 | $196.66 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,468 | $175.00 |
| 99383 | <1% | 12 | $174.10 | |
| 3074F | <1% | 295 | $162.50 | |
| 3078F | <1% | 306 | $160.00 | |
| 99173 | <1% | 4,304 | $119.37 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $60.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $59.16 |
| 90707 | <1% | 12 | $56.00 | |
| 36406 | <1% | 82 | $44.54 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 386 | $36.00 |
| 90633 | <1% | 293 | $24.00 | |
| 90685 | <1% | 93 | $21.81 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 2,146 | $0.08 |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 975 | $0.06 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 614 | $0.01 |
| 90715 | 0% | 174 | $0.00 | |
| 3725F | 0% | 2,333 | $0.00 | |
| 90672 | 0% | 554 | $0.00 | |
| 3016F | 0% | 2,335 | $0.00 | |
| 90734 | 0% | 876 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| 90648 | 0% | 282 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,337 | $0.00 |
| 90670 | 0% | 388 | $0.00 | |
| 81002 | 0% | 461 | $0.00 | |
| 90710 | 0% | 37 | $0.00 | |
| 1036F | 0% | 2,292 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,125 | $0.00 |
| 90651 | 0% | 895 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 71 | $0.00 |
| 90696 | 0% | 12 | $0.00 | |
| 3008F | 0% | 6,044 | $0.00 | |
| 1000F | 0% | 718 | $0.00 | |
| 90716 | 0% | 30 | $0.00 |
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.