Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EDWARDS, LEO

NPI: 1750313441 · SAN ANTONIO, TX 78202 · Internal Medicine Physician · NPI assigned 07/06/2006

$161K
Total Medicaid Paid
29,871
Total Claims
28,718
Beneficiaries
40
Codes Billed
2018-02
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 77 $1K
2019 665 $513.70
2020 7,528 $21K
2021 8,008 $42K
2022 4,186 $38K
2023 6,839 $41K
2024 2,568 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,546 2,455 $91K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 803 786 $42K
99232 Subsequent hospital care, per day, moderate complexity 175 50 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 186 183 $5K
99215 Prolong outpt/office vis 81 80 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 168 165 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 57 52 $3K
99442 94 92 $2K
99238 Hospital discharge day management, 30 minutes or less 28 26 $1K
90686 116 114 $1K
99222 Initial hospital care, per day, moderate complexity 14 12 $665.35
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 109 107 $493.92
1159F 3,078 2,948 $0.01
1160F 3,166 3,025 $0.01
3079F 1,545 1,502 $0.01
1157F 2,263 2,168 $0.01
3077F 304 302 $0.00
3078F 704 677 $0.00
3288F 1,147 1,117 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 322 319 $0.00
1158F 145 143 $0.00
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 73 71 $0.00
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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 12 12 $0.00
3046F 14 14 $0.00
1170F 3,051 2,925 $0.00
3075F 1,239 1,199 $0.00
3008F 1,143 1,121 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 1,218 1,182 $0.00
1036F 701 685 $0.00
3074F 588 561 $0.00
1101F 1,255 1,222 $0.00
1126F 710 691 $0.00
4010F 12 12 $0.00
1125F 2,358 2,262 $0.00
G0245 Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education 83 81 $0.00
3080F 46 46 $0.00
1111F 16 14 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 273 270 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 16 15 $0.00
3061F 12 12 $0.00