Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Holgado, Cesar

Holgado, Cesar was paid $144K by Medicaid between Jan 2018 and Jul 2023, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoHOLGADO, CESAR
EDISON, NJ 08820
33aNPI1811930027assigned 06/14/2006
28Total paid$144K
24GClaims3,109
24DCodes billed15
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#292 of 1,027
Median peer was paid$30K
This provider vs. median4.8×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018995$61K
2019390$16K
2020373$19K
2021412$19K
2022652$18K
2023287$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59% 1,945 1,661 $85K
93922 13% 183 180 $18K
93923 7.0% 75 38 $10K
93880 5.8% 38 38 $8K
95924 3.5% 39 39 $5K
95923 3.4% 51 51 $5K
99354 2.7% 66 66 $4K
99402 2.6% 102 100 $4K
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 1.4% 33 33 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 39 13 $829.56
97127 <1% 39 13 $515.11
93040 <1% 80 80 $443.18
3 more codes
81002 <1% 185 $310.80
99401 <1% 14 $240.46
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 220 $17.96

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.