Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Velez, Edgardo

Velez, Edgardo was paid $28K by Medicaid between Sep 2024 and Dec 2024, across 2 billing codes. Its largest line is 99285, emergency room visit (most serious) — 87% of everything it billed.

33Billing provider infoVELEZ, EDGARDO
FAJARDO, PR 00738
33aNPI1417512849assigned 05/01/2019
28Total paid$28K
24GClaims174
24DCodes billed2
24AFirst – last monthSep 2024 – Dec 2024
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Puerto Rico

Rank by total paid#42 of 77
Median peer was paid$39K
This provider vs. median0.7×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete174$28K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 87% 145 88 $24K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 29 13 $4K

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.