Physician
Edgardo G. Alicaway, M. D., P. C.
Edgardo G. Alicaway, M. D., P. C. was paid $136K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.
33Billing provider infoEDGARDO G. ALICAWAY, M. D., P. C.
DALY CITY, CA 94015
DALY CITY, CA 94015
33aNPI1760718670assigned 10/28/2009
33bProvider typeNeurology Physician
28Total paid$136K
24GClaims4,445
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in California
Rank by total paid#110 of 296
Median peer was paid$50K
This provider vs. median2.7×
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 | 601 | $17K | |
| 2019 | 896 | $23K | |
| 2020 | 587 | $18K | |
| 2021 | 579 | $17K | |
| 2022 | 543 | $16K | |
| 2023 | 610 | $20K | |
| 2024incomplete | 629 | $25K |
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 | 62% | 2,754 | 2,732 | $84K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.5% | 521 | 521 | $13K |
| 99205 | Prolong outpt/office vis | 7.3% | 197 | 197 | $10K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.1% | 337 | 255 | $10K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.3% | 374 | 153 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.1% | 147 | 147 | $6K |
| 99223 | Prolong inpt eval add15 m | 4.0% | 115 | 113 | $5K |
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.
From NPPES
Who's on the registration
Authorized officialALICAWAY, EDGARDO (OWNER)