Galicia, Edgar
Galicia, Edgar was paid $236K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 41% of everything it billed.
33Billing provider infoGALICIA, EDGAR
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
33aNPI1801834494assigned 06/03/2006
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$236K
24GClaims4,216
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Missouri
Rank by total paid#8 of 102
Median peer was paid$7K
This provider vs. median35×
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 | 533 | $21K | |
| 2019 | 943 | $34K | |
| 2020 | 532 | $25K | |
| 2021 | 677 | $42K | |
| 2022 | 674 | $45K | |
| 2023 | 318 | $25K | |
| 2024incomplete | 539 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 41% | 1,067 | 960 | $97K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 33% | 1,388 | 1,302 | $79K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 26% | 1,761 | 1,576 | $60K |
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.