Physician
Malacaman, Edgardo
Malacaman, Edgardo was paid $269K by Medicaid between Nov 2018 and Jan 2023, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoMALACAMAN, EDGARDO
CANTON, OH 44708
CANTON, OH 44708
33aNPI1588779078assigned 08/21/2006
33bProvider typePediatrics Physician
28Total paid$269K
24GClaims9,795
24DCodes billed14
24AFirst – last monthNov 2018 – Jan 2023
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#97 of 401
Median peer was paid$30K
This provider vs. median9.1×
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 | 13 | $527.93 | |
| 2019 | 2,627 | $67K | |
| 2020 | 3,464 | $95K | |
| 2021 | 2,087 | $57K | |
| 2022 | 1,446 | $45K | |
| 2023 | 158 | $5K |
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 | 47% | 3,158 | 2,650 | $128K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 20% | 3,706 | 1,668 | $53K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 636 | 597 | $32K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 503 | 463 | $28K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.1% | 350 | 333 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 147 | 138 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 66 | 33 | $807.90 |
| 90670 | <1% | 421 | 396 | $40.30 | |
| 90648 | <1% | 403 | 382 | $30.30 | |
| 90723 | <1% | 266 | 251 | $30.19 | |
| 90658 | <1% | 80 | 73 | $0.03 | |
| 90633 | <1% | 15 | 14 | $0.02 |
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.