Alejandro, Edwin

Alejandro, Edwin was paid $172K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoALEJANDRO, EDWIN
BAYAMON, PR 00959

33aNPI1649343369assigned 11/17/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$172K

24GClaims3,842

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Puerto Rico

Rank by total paid#73 of 174

Median peer was paid$109K

This provider vs. median1.6×

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	738	$25K
2019	375	$8K
2020	466	$24K
2021	665	$35K
2022	636	$29K
2023	424	$25K
2024incomplete	538	$27K

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	56%	2,092	2,036	$97K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	21%	143	139	$36K
93000		19%	1,464	1,441	$32K
99222	Initial hospital care, per day, moderate complexity	2.0%	30	29	$4K
93224		1.2%	16	15	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	13	13	$1K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	55	44	$726.00
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	29	29	$97.41

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.