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

Morales, Edbert

Morales, Edbert was paid $35K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99221, — 44% of everything it billed.

33Billing provider infoMORALES, EDBERT
FAR ROCKAWAY, NY 11691
33aNPI1588657241assigned 08/29/2005
28Total paid$35K
24GClaims3,888
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in New York

Rank by total paid#180 of 465
Median peer was paid$12K
This provider vs. median2.8×

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

$0$1.0K$2.0K2018201920202021202220232024
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
2018113$2K
2019333$3K
2020471$4K
2021741$5K
2022789$5K
2023762$9K
2024incomplete679$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99221 44% 1,507 1,457 $15K
99222 Initial hospital care, per day, moderate complexity 32% 1,280 1,265 $11K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 15% 875 719 $5K
99252 2.8% 33 32 $988.32
99254 2.8% 15 15 $976.65
99253 1.6% 12 12 $541.56
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 60 58 $330.63
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 106 37 $259.47

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.