Physician
Figueroa Delgado, Edwin
Figueroa Delgado, Edwin was paid $3K by Medicaid between Feb 2018 and Nov 2024, across 33 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 68% of everything it billed.
33Billing provider infoFIGUEROA DELGADO, EDWIN
CAGUAS, PR 00726
CAGUAS, PR 00726
33aNPI1992764088assigned 03/20/2006
33bProvider typeGeneral Practice Physician
28Total paid$3K
24GClaims56,023
24DCodes billed33
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#574 of 1,195
Median peer was paid$2K
This provider vs. median1.3×
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 | 1,551 | $450.00 | |
| 2019 | 3,505 | $0.00 | |
| 2020 | 3,075 | $2K | |
| 2021 | 11,469 | $0.00 | |
| 2022 | 12,413 | $90.00 | |
| 2023 | 16,028 | $0.00 | |
| 2024incomplete | 7,982 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 68% | 130 | 114 | $2K |
| 99441 | 12% | 30 | 27 | $315.00 | |
| 1158F | 5.1% | 4,637 | 4,168 | $132.00 | |
| G9006 | Coordinated care fee, home monitoring | 3.9% | 12 | 12 | $100.00 |
| 3074F | 3.5% | 2,552 | 2,406 | $90.00 | |
| 3078F | 3.1% | 1,928 | 1,819 | $80.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 1.8% | 15 | 15 | $46.00 |
| 3048F | 1.2% | 130 | 121 | $30.00 | |
| 3079F | <1% | 1,262 | 1,211 | $18.00 | |
| 3725F | 0% | 4,563 | 4,120 | $0.00 | |
| 4035F | 0% | 274 | 259 | $0.00 | |
| 99347 | 0% | 342 | 322 | $0.00 |
21 more codes
| 1159F | 0% | 4,659 | $0.00 | |
| 0518F | 0% | 4,563 | $0.00 | |
| 1160F | 0% | 4,658 | $0.00 | |
| 0521F | 0% | 4,581 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 554 | $0.00 |
| 99334 | 0% | 330 | $0.00 | |
| 3077F | 0% | 15 | $0.00 | |
| 96160 | 0% | 23 | $0.00 | |
| 1170F | 0% | 4,640 | $0.00 | |
| 3011F | 0% | 519 | $0.00 | |
| 3075F | 0% | 455 | $0.00 | |
| 1126F | 0% | 2,347 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 2,825 | $0.00 |
| 3008F | 0% | 4,573 | $0.00 | |
| 2000F | 0% | 4,574 | $0.00 | |
| 1036F | 0% | 238 | $0.00 | |
| 1125F | 0% | 387 | $0.00 | |
| 4037F | 0% | 27 | $0.00 | |
| 3017F | 0% | 150 | $0.00 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 0% | 12 | $0.00 |
| 3049F | 0% | 18 | $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.