Falcon, Edgardo

Falcon, Edgardo was paid $106K by Medicaid between Jan 2018 and Mar 2024, across 3 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 85% of everything it billed.

33Billing provider infoFALCON, EDGARDO
CAMARILLO, CA 93010

33aNPI1417992561assigned 06/20/2006

33bProvider typeGeriatric Medicine (Internal Medicine) Physician

28Total paid$106K

24GClaims2,789

24DCodes billed3

24AFirst – last monthJan 2018 – Mar 2024

Compared with peers

Next to other Geriatric Medicine (Internal Medicine) Physician providers in California

Rank by total paid#27 of 86

Median peer was paid$14K

This provider vs. median7.6×

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	247	$2K
2019	146	$5K
2020	423	$16K
2021	329	$15K
2022	491	$22K
2023	961	$39K
2024incomplete	192	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	85%	2,562	1,495	$90K
99306	Prolong nursin fac eval 15m	15%	161	153	$16K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	66	66	$138.39

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.