Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Clinica Familiar DR Edwin Olmeda CSP

Clinica Familiar DR Edwin Olmeda CSP was paid $118K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99235, — 65% of everything it billed.

33Billing provider infoCLINICA FAMILIAR DR EDWIN OLMEDA CSP
HATILLO, PR 00659
33aNPI1457416281assigned 12/22/2006
28Total paid$118K
24GClaims1,422
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#162 of 1,195
Median peer was paid$2K
This provider vs. median58×

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$10K$15K2018201920202021202220232024
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
2018279$12K
2019148$2K
202041$585.00
202272$6K
2023509$54K
2024incomplete373$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99235 65% 649 588 $77K
99234 22% 279 262 $26K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 279 227 $12K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.9% 156 146 $2K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity <1% 33 32 $480.01
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 13 13 $174.88
76140 0% 13 13 $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.

From NPPES

Who's on the registration

Authorized officialOLMEDA, EDWIN (ADMINISTRADOR)