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

Molina, Edgar

Molina, Edgar was paid $80K by Medicaid between May 2020 and Aug 2021, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoMOLINA, EDGAR
BASTROP, TX 78602
33aNPI1629011861assigned 06/14/2006
33bProvider typePediatrics Physician
28Total paid$80K
24GClaims2,920
24DCodes billed13
24AFirst – last monthMay 2020 – Aug 2021
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#754 of 1,136
Median peer was paid$329K
This provider vs. median0.2×

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
2020798$16K
20212,122$64K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 65% 1,468 1,047 $52K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9.5% 105 100 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.8% 79 77 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 7.2% 793 328 $6K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.9% 44 41 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.3% 31 30 $3K
99429 1.8% 48 47 $1K
90461 1.2% 154 105 $996.33
90658 0% 51 45 $0.00
90670 0% 29 28 $0.00
90698 0% 12 12 $0.00
90660 0% 94 84 $0.00
1 more codes
90657 0% 12 $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.