Yambo, Edwardo

Yambo, Edwardo was paid $11K by Medicaid between Jan 2018 and Dec 2018, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.

33Billing provider infoYAMBO, EDWARDO
DEER PARK, NY 11729

33aNPI1699711929assigned 06/22/2006

33bProvider typeFamily Medicine Physician

28Total paid$11K

24GClaims1,039

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#1,264 of 2,605

Median peer was paid$10K

This provider vs. median1.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (03/19/2020).

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	1,039	$11K

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	94%	536	434	$11K
93000		2.6%	43	42	$294.70
94010		2.0%	15	15	$221.46
99406		<1%	27	26	$45.34
81002		<1%	230	204	$43.06
36415	Collection of venous blood by venipuncture	<1%	106	105	$27.84
82947		<1%	26	24	$13.50
99490	Ccm add 20min	0%	26	26	$0.00
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	0%	30	28	$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.