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

Edgar Reyna, MD, PA

Edgar Reyna, MD, PA was paid $476K by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoEDGAR REYNA, MD, PA
EL PASO, TX 79938
33aNPI1992186324assigned 06/11/2015
28Total paid$476K
24GClaims56,244
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#185 of 1,204
Median peer was paid$31K
This provider vs. median15×

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$10K$20K$30K2018201920202021202220232024
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
2018203$2K
2019449$12K
20202,519$25K
202110,183$107K
202214,779$162K
202318,983$123K
2024incomplete9,128$45K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 56% 6,869 5,687 $266K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 13% 559 503 $60K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.8% 1,221 1,114 $37K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 6.8% 551 497 $32K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4.2% 294 281 $20K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3.5% 386 365 $17K
99444 2.0% 168 54 $10K
90674 1.3% 412 399 $6K
99310 Prolong nursin fac eval 15m 1.0% 334 208 $5K
99385 <1% 89 87 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 308 301 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 260 249 $3K
35 more codes
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 313 $3K
99421 <1% 137 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 169 $2K
0012A <1% 100 $1K
81007 <1% 75 $1K
0011A <1% 105 $951.35
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 13 $794.20
99406 <1% 75 $635.12
99306 Prolong nursin fac eval 15m <1% 14 $227.60
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 12 $192.82
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 14 $169.66
3044F <1% 436 $160.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 1,297 $144.51
96160 <1% 103 $102.56
93000 <1% 12 $70.38
G0444 Annual depression screening, 5 to 15 minutes <1% 1,030 $62.98
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 96 $45.74
96127 <1% 638 $22.05
3077F 0% 642 $0.00
1159F 0% 6,343 $0.00
3725F 0% 615 $0.00
1160F 0% 6,315 $0.00
0521F 0% 1,044 $0.00
3078F 0% 4,228 $0.00
3074F 0% 4,509 $0.00
3075F 0% 992 $0.00
1126F 0% 5,240 $0.00
3080F 0% 443 $0.00
3079F 0% 1,463 $0.00
3008F 0% 6,528 $0.00
1125F 0% 1,524 $0.00
1111F 0% 16 $0.00
3048F 0% 211 $0.00
G0008 Administration of influenza virus vaccine 0% 14 $0.00
3049F 0% 27 $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 officialREYNA, EDGAR (OWNER)