Supplier
Edgar S. Macias, M.D., INC
Edgar S. Macias, M.D., INC was paid $117.72 by Medicaid between Oct 2018 and Nov 2023, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoEDGAR S. MACIAS, M.D., INC
FRESNO, CA 93720
FRESNO, CA 93720
33aNPI1871882712assigned 03/31/2011
33bProvider typeNon-Pharmacy Dispensing Site
28Total paid$117.72
24GClaims2,619
24DCodes billed5
24AFirst – last monthOct 2018 – Nov 2023
Compared with peers
Next to other Non-Pharmacy Dispensing Site providers in California
Rank by total paid#18 of 22
Median peer was paid$112K
This provider vs. median0.0×
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 | 109 | $0.00 | |
| 2019 | 360 | $0.00 | |
| 2020 | 474 | $0.00 | |
| 2021 | 313 | $0.00 | |
| 2022 | 628 | $0.00 | |
| 2023 | 735 | $117.72 |
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 | 37% | 1,669 | 1,614 | $43.18 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 33% | 180 | 180 | $38.33 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 715 | 681 | $24.00 |
| 17110 | 10% | 43 | 43 | $12.21 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 0% | 12 | 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.
From NPPES
Who's on the registration
Authorized officialCANEZ, VANESSA (OFFICE MANAGER)