Edgar M. Magcalas M.D. PC
Edgar M. Magcalas M.D. PC was paid $292K by Medicaid between Dec 2019 and Oct 2024, across 4 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 54% of everything it billed.
33Billing provider infoEDGAR M. MAGCALAS M.D. PC
TAMUNING, GU 96913
TAMUNING, GU 96913
33aNPI1871862300assigned 12/29/2011
33bProvider typeSpecialist
28Total paid$292K
24GClaims2,873
24DCodes billed4
24AFirst – last monthDec 2019 – Oct 2024
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 | |
|---|---|---|---|
| 2019 | 14 | $2K | |
| 2020 | 190 | $25K | |
| 2021 | 244 | $28K | |
| 2022 | 439 | $57K | |
| 2023 | 1,153 | $109K | |
| 2024incomplete | 833 | $71K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 54% | 1,812 | 376 | $157K |
| 99223 | Prolong inpt eval add15 m | 22% | 445 | 436 | $65K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 18% | 310 | 86 | $51K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.4% | 306 | 62 | $19K |
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 officialBARNHART, KELLEY (BILLING MANAGER)