EDGAR FLORES, MD
Legal Medicine · FULLERTON, CA
Individual Active NPI 1992857239
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 130 | 1,124 | $107,620 | $57,605 | $40,011 |
| 2023 | 135 | 1,089 | $104,475 | $54,372 | $37,932 |
| 2022 | 133 | 736 | $99,265 | $53,721 | $36,428 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 306 | $96 | $58 |
| 96127 | Assessment of emotional or behavioral problems | 248 | $5 | $3 |
| 36415 | Insertion of needle into vein for collection of blood sample | 115 | $9 | $9 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 74 | $3 | $3 |
| G0008 | Administration of influenza virus vaccine | 30 | $35 | $35 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 27 | $22 | $22 |
| 99406 | Smoking and tobacco use intensive counseling, 4-10 minutes | 25 | $15 | $15 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 25 | $134 | $77 |
| 99496 | Transitional care management services for problem of high complexity | 24 | $294 | $221 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 23 | $140 | $140 |
| 99497 | Advance care planning, first 30 minutes | 14 | $87 | $38 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 12 | $178 | $178 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Legal Medicine | 173000000X | ✓ | A78642 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Legal Medicine providers in California
- NPI 1285527705
- NPI 1912118605
- NPI 1952685604
- NPI 1932212123
- NPI 1487758132
- NPI 1518919604
- NPI 1760797740
- NPI 1417240714
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.