Colon-Zavala, Edgardo

Colon-Zavala, Edgardo was paid $307K by Medicaid between Nov 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.

33Billing provider infoCOLON-ZAVALA, EDGARDO
SAN JUAN, PR 00918

33aNPI1730382573assigned 06/08/2007

33bProvider typeNeurology Physician

28Total paid$307K

24GClaims5,409

24DCodes billed7

24AFirst – last monthNov 2018 – Dec 2024

Compared with peers

Next to other Neurology Physician providers in Puerto Rico

Rank by total paid#3 of 45

Median peer was paid$16K

This provider vs. median20×

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	143	$3K
2019	303	$7K
2020	110	$3K
2021	1,212	$59K
2022	1,396	$76K
2023	1,557	$106K
2024incomplete	688	$51K

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	66%	3,612	3,317	$201K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	15%	588	562	$47K
99243		9.5%	678	651	$29K
99253		4.9%	239	237	$15K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.8%	116	55	$6K
99222	Initial hospital care, per day, moderate complexity	1.7%	51	43	$5K
99441		1.1%	125	124	$3K

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.