Physician
Wilmer Loja MD PA
Wilmer Loja MD PA was paid $1.33M by Medicaid between Oct 2020 and Dec 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 41% of everything it billed.
33Billing provider infoWILMER LOJA MD PA
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1013210285assigned 12/10/2010
33bProvider typePediatric Infectious Diseases Physician
28Total paid$1.33M
24GClaims17,036
24DCodes billed6
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatric Infectious Diseases Physician providers in Texas
Rank by total paid#2 of 10
Median peer was paid$272K
This provider vs. median4.9×
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 | |
|---|---|---|---|
| 2020 | 515 | $39K | |
| 2021 | 3,648 | $265K | |
| 2022 | 3,980 | $311K | |
| 2023 | 4,577 | $362K | |
| 2024incomplete | 4,316 | $351K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 41% | 8,432 | 1,950 | $541K |
| 99255 | 29% | 2,341 | 2,248 | $381K | |
| 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 | 18% | 4,685 | 3,513 | $241K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 11% | 1,224 | 1,172 | $149K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 192 | 92 | $10K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 162 | 76 | $6K |
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 officialLOJA, WILMER (OWNER)