Quinones, Edgard

Quinones, Edgard was paid $79K by Medicaid between Feb 2019 and Oct 2024, across 4 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 46% of everything it billed.

33Billing provider infoQUINONES, EDGARD
WALDEN, NY 12586

33aNPI1659444321assigned 11/17/2006

33bProvider typeInternal Medicine Physician

28Total paid$79K

24GClaims1,588

24DCodes billed4

24AFirst – last monthFeb 2019 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#1,407 of 6,049

Median peer was paid$11K

This provider vs. median7.0×

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	210	$9K
2020	527	$21K
2021	227	$15K
2022	170	$9K
2023	332	$19K
2024incomplete	122	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	46%	821	753	$36K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	323	309	$21K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	16%	150	144	$13K
99401		12%	294	228	$9K

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.