Wilson C Sy MD PA
Wilson C Sy MD PA was paid $1.01M by Medicaid between Oct 2020 and Apr 2024, across 12 billing codes. Its largest line is 95816, — 39% of everything it billed.
33Billing provider infoWILSON C SY MD PA
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1073653739assigned 02/08/2007
33bProvider typeSpecialist
28Total paid$1.01M
24GClaims11,685
24DCodes billed12
24AFirst – last monthOct 2020 – Apr 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#39 of 382
Median peer was paid$29K
This provider vs. median35×
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 | 604 | $55K | |
| 2021 | 4,213 | $370K | |
| 2022 | 4,191 | $368K | |
| 2023 | 2,574 | $207K | |
| 2024incomplete | 103 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95816 | 39% | 1,379 | 1,350 | $389K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 5,286 | 5,240 | $191K |
| 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 | 14% | 2,689 | 2,632 | $136K |
| 99245 | 12% | 723 | 705 | $117K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 7.8% | 639 | 627 | $79K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.9% | 751 | 732 | $59K |
| 95819 | 2.1% | 69 | 66 | $21K | |
| 99254 | <1% | 44 | 39 | $5K | |
| 95822 | <1% | 18 | 15 | $4K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 57 | 30 | $3K |
| 95718 | <1% | 17 | 15 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 13 | 12 | $1K |
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 officialSY, WILSON (MEDICAL DIRECTOR)