Physician
Edwards, Leo
Edwards, Leo was paid $161K by Medicaid between Feb 2018 and Oct 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoEDWARDS, LEO
SAN ANTONIO, TX 78202
SAN ANTONIO, TX 78202
33aNPI1750313441assigned 07/06/2006
33bProvider typeInternal Medicine Physician
28Total paid$161K
24GClaims29,871
24DCodes billed40
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#167 of 1,028
Median peer was paid$10K
This provider vs. median15×
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 | 77 | $1K | |
| 2019 | 665 | $513.70 | |
| 2020 | 7,528 | $21K | |
| 2021 | 8,008 | $42K | |
| 2022 | 4,186 | $38K | |
| 2023 | 6,839 | $41K | |
| 2024incomplete | 2,568 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 57% | 2,546 | 2,455 | $91K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 26% | 803 | 786 | $42K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.8% | 175 | 50 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 186 | 183 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.2% | 81 | 80 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 168 | 165 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.6% | 57 | 52 | $3K |
| 99442 | 1.0% | 94 | 92 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 28 | 26 | $1K |
| 90686 | <1% | 116 | 114 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | 12 | $665.35 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 109 | 107 | $493.92 |
28 more codes
| 1159F | <1% | 3,078 | $0.01 | |
| 1160F | <1% | 3,166 | $0.01 | |
| 3079F | <1% | 1,545 | $0.01 | |
| 1157F | <1% | 2,263 | $0.01 | |
| 3077F | 0% | 304 | $0.00 | |
| 3078F | 0% | 704 | $0.00 | |
| 3288F | 0% | 1,147 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 322 | $0.00 |
| 1158F | 0% | 145 | $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 | 0% | 73 | $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 | 0% | 12 | $0.00 |
| 3046F | 0% | 14 | $0.00 | |
| 1170F | 0% | 3,051 | $0.00 | |
| 3075F | 0% | 1,239 | $0.00 | |
| 3008F | 0% | 1,143 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 1,218 | $0.00 |
| 1036F | 0% | 701 | $0.00 | |
| 3074F | 0% | 588 | $0.00 | |
| 1101F | 0% | 1,255 | $0.00 | |
| 1126F | 0% | 710 | $0.00 | |
| 4010F | 0% | 12 | $0.00 | |
| 1125F | 0% | 2,358 | $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 | 0% | 83 | $0.00 |
| 3080F | 0% | 46 | $0.00 | |
| 1111F | 0% | 16 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 273 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 16 | $0.00 |
| 3061F | 0% | 12 | $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.