Active NPI 1508849795 Individual Practitioner Male Practitioner

Dr. Edgardo Gabriel Binoya , MD

General Practice • Bellflower, CA

Professional Overview & Biography Verified Profile Summary

Dr. Edgardo Binoya, MD is a registered healthcare professional specializing in General Practice in Bellflower, CA. Practice services are available at 10230 ARTESIA BLVD under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10230 Artesia Blvd
Ste. 300

Bellflower, CA 907066763

Telephone 5628661500

Fax 5628664946

Associated Practice Facility / Clinic

🏢 Viva Hospice Services Incorporated Facility NPI 1720035066

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Bellflower, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

7 Specialists

Practicing in Bellflower, CA (2300 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	929	99	$125.00	$78.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	563	76	$100.00	$42.34
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	532	92	$150.00	$100.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	413	105	$200.00	$120.74
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	304	84	$125.00	$75.76
99213 Established patient office or other outpatient visit, typically 15 minutes	261	80	$150.00	$83.59
99238 Hospital discharge day management, 30 minutes or less	193	103	$200.00	$79.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	126	78	$300.00	$148.19
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	112	60	$200.00	$98.17
G0444 Annual depression screening, 5 to 15 minutes	96	96	$25.00	$20.56
G0442 Annual alcohol misuse screening, 5 to 15 minutes	94	94	$25.00	$20.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	78	78	$200.00	$128.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	49	$175.00	$112.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$200.00	$128.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	47	$350.00	$219.93
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	54	46	$150.00	$59.47
99315 Nursing facility discharge day management, 30 minutes or less	50	40	$200.00	$80.01
99495 Transitional care management services for problem of at least moderate complexity	44	30	$300.00	$206.46
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	39	14	$50.00	$16.72
99497 Advance care planning, first 30 minutes	30	28	$150.00	$85.35
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	27	19	$130.00	$45.95
99291 Critical care, first 30-74 minutes	18	14	$375.00	$236.86
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$200.00	$189.76
99221 Initial hospital inpatient care per day, typically 30 minutes	16	13	$250.00	$109.38
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$200.00	$187.01
99497 Advance care planning, first 30 minutes	12	12	$150.00	$93.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,420	150	$125.00	$77.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	920	110	$100.00	$41.84
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	508	108	$150.00	$98.88
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	451	100	$125.00	$74.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	298	110	$200.00	$119.50
99238 Hospital discharge day management, 30 minutes or less	279	144	$200.00	$78.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	250	143	$300.00	$145.64
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	178	81	$200.00	$96.51
99213 Established patient office or other outpatient visit, typically 15 minutes	167	77	$150.00	$81.80
G0442 Annual alcohol misuse screening, 5 to 15 minutes	98	98	$25.00	$20.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	94	94	$200.00	$127.96
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	91	62	$150.00	$58.78
G0444 Annual depression screening, 5 to 15 minutes	85	85	$25.00	$20.24
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	75	19	$50.00	$16.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	72	72	$200.00	$127.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	38	$175.00	$110.79
99315 Nursing facility discharge day management, 30 minutes or less	51	42	$200.00	$79.06
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	47	37	$130.00	$45.97
99495 Transitional care management services for problem of at least moderate complexity	45	29	$300.00	$181.15
99291 Critical care, first 30-74 minutes	41	27	$375.00	$234.91
99497 Advance care planning, first 30 minutes	41	39	$150.00	$84.48
93000 Routine ekg using at least 12 leads including interpretation and report	35	33	$85.00	$18.96
99221 Initial hospital inpatient care per day, typically 30 minutes	35	31	$250.00	$107.36
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$200.00	$187.60
99497 Advance care planning, first 30 minutes	20	20	$150.00	$91.70
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	19	19	$250.00	$139.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$250.00	$179.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,215	151	$125.00	$73.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,088	115	$100.00	$39.36
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	480	114	$150.00	$93.29
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	426	103	$125.00	$70.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	294	115	$200.00	$111.72
99238 Hospital discharge day management, 30 minutes or less	268	137	$200.00	$74.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	226	139	$300.00	$137.37
99213 Established patient office or other outpatient visit, typically 15 minutes	216	94	$150.00	$75.87
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	178	87	$200.00	$92.50
G0442 Annual alcohol misuse screening, 5 to 15 minutes	116	116	$25.00	$19.37
G0444 Annual depression screening, 5 to 15 minutes	111	111	$25.00	$18.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$200.00	$121.23
93000 Routine ekg using at least 12 leads including interpretation and report	89	84	$85.00	$17.83
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	83	65	$150.00	$56.05
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	82	23	$50.00	$14.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	77	77	$200.00	$121.23
99315 Nursing facility discharge day management, 30 minutes or less	56	44	$200.00	$74.10
99497 Advance care planning, first 30 minutes	54	49	$150.00	$79.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	31	$175.00	$104.99
99495 Transitional care management services for problem of at least moderate complexity	47	31	$300.00	$171.15
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	44	42	$250.00	$132.39
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	40	24	$130.00	$43.94
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	36	36	$200.00	$177.17
99221 Initial hospital inpatient care per day, typically 30 minutes	36	30	$250.00	$101.37
99291 Critical care, first 30-74 minutes	27	18	$375.00	$221.88
99497 Advance care planning, first 30 minutes	20	19	$150.00	$85.73
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$200.00	$177.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,719	193	$125.00	$72.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,442	155	$100.00	$39.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	378	100	$125.00	$69.68
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	370	106	$150.00	$92.24
99238 Hospital discharge day management, 30 minutes or less	309	165	$200.00	$73.23
99213 Established patient office or other outpatient visit, typically 15 minutes	279	102	$150.00	$74.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	272	116	$200.00	$109.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	271	185	$300.00	$136.73
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	216	107	$200.00	$91.71
99497 Advance care planning, first 30 minutes	153	148	$150.00	$81.65
G0442 Annual alcohol misuse screening, 5 to 15 minutes	128	128	$25.00	$18.70
99315 Nursing facility discharge day management, 30 minutes or less	116	82	$200.00	$73.82
G0444 Annual depression screening, 5 to 15 minutes	113	113	$25.00	$18.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	104	104	$200.00	$118.42
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	92	30	$50.00	$14.50
99221 Initial hospital inpatient care per day, typically 30 minutes	76	56	$250.00	$100.90
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	73	58	$150.00	$55.38
99497 Advance care planning, first 30 minutes	72	72	$150.00	$76.43
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	65	11	$100.00	$60.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	57	57	$200.00	$118.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	49	27	$175.00	$104.26
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	47	47	$200.00	$173.94
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	41	41	$250.00	$130.84
99291 Critical care, first 30-74 minutes	39	26	$375.00	$221.30
99495 Transitional care management services for problem of at least moderate complexity	37	30	$300.00	$167.98
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	34	25	$130.00	$43.00
93000 Routine ekg using at least 12 leads including interpretation and report	32	26	$85.00	$17.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$250.00	$166.82
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$200.00	$173.96

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA A30593

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00A305930 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Cynthia Binoya , PA

Physician Assistant

NPI 1154691665

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 14, 2016

Registered at 10230 ARTESIA BLVD, STE. 300, BELLFLOWER, CA 907066763 (Tel: 5628661500)

📍

Updated Business Mailing Address March 14, 2016

Registered at 19127 HOLMBURY AVE, CERRITOS, CA 907037246 (Tel: 5628606193)

👤

Provider Name / Credentials Updated March 14, 2016

Recorded as EDGARDO BINOYA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2016

General Practice (License #A30593 in CA)

🟢

Initial NPI Registration & Enumeration November 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508849795

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 22, 2005

Last Update: March 14, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

19127 Holmbury Ave

Cerritos, CA 907037246

Phone: 5628606193

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.