Physician
Pimentel, Edgar
Pimentel, Edgar was paid $74K by Medicaid between Feb 2019 and Nov 2024, across 3 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 51% of everything it billed.
33Billing provider infoPIMENTEL, EDGAR
NEW YORK, NY 10034
NEW YORK, NY 10034
33aNPI1598856007assigned 09/28/2006
33bProvider typeGeriatric Medicine (Family Medicine) Physician
28Total paid$74K
24GClaims6,968
24DCodes billed3
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Geriatric Medicine (Family Medicine) Physician providers in New York
Rank by total paid#13 of 44
Median peer was paid$7K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2019 | 962 | $12K | |
| 2020 | 1,780 | $19K | |
| 2021 | 1,430 | $15K | |
| 2022 | 969 | $11K | |
| 2023 | 1,035 | $10K | |
| 2024incomplete | 792 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 51% | 3,959 | 1,637 | $38K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 40% | 2,167 | 1,935 | $30K |
| 99307 | 8.2% | 842 | 486 | $6K |
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.