Gonzalez Romero, Edgardo

Gonzalez Romero, Edgardo was paid $99K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.

33Billing provider infoGONZALEZ ROMERO, EDGARDO
SAN SEBASTIAN, PR 00685

33aNPI1417932617assigned 12/09/2005

33bProvider typeGynecology Physician

28Total paid$99K

24GClaims11,655

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Gynecology Physician providers in Puerto Rico

Rank by total paid#12 of 32

Median peer was paid$52K

This provider vs. median1.9×

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	2,082	$13K
2019	1,754	$12K
2020	1,020	$14K
2021	1,670	$24K
2022	1,936	$26K
2023	1,584	$8K
2024incomplete	1,609	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	64%	5,166	4,346	$64K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	26%	3,164	2,498	$25K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	4.2%	2,458	2,343	$4K
99205	Prolong outpt/office vis	2.2%	324	299	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.9%	109	97	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.7%	434	407	$2K

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.