Pillot Costas, Juan
Pillot Costas, Juan was paid $5K by Medicaid between Jan 2018 and Feb 2024, across 21 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 46% of everything it billed.
33Billing provider infoPILLOT COSTAS, JUAN
GUAYANILLA, PR 00656
GUAYANILLA, PR 00656
33aNPI1154307015assigned 12/21/2005
33bProvider typeSpecialist
28Total paid$5K
24GClaims7,604
24DCodes billed21
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#199 of 316
Median peer was paid$26K
This provider vs. median0.2×
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 | 727 | $813.88 | |
| 2019 | 782 | $58.00 | |
| 2020 | 310 | $386.00 | |
| 2021 | 657 | $2K | |
| 2022 | 2,067 | $810.00 | |
| 2023 | 2,852 | $1K | |
| 2024incomplete | 209 | $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 | 46% | 369 | 358 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 2,407 | 2,163 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 16% | 602 | 546 | $821.75 |
| 99441 | 15% | 157 | 156 | $766.00 | |
| 96127 | 0% | 324 | 275 | $0.00 | |
| 3074F | 0% | 190 | 173 | $0.00 | |
| 3017F | 0% | 111 | 106 | $0.00 | |
| 3075F | 0% | 87 | 77 | $0.00 | |
| 3008F | 0% | 445 | 391 | $0.00 | |
| 1126F | 0% | 272 | 247 | $0.00 | |
| 1170F | 0% | 445 | 396 | $0.00 | |
| 3048F | 0% | 111 | 103 | $0.00 |
9 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 57 | $0.00 |
| 1125F | 0% | 20 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 90 | $0.00 |
| 1159F | 0% | 452 | $0.00 | |
| 1160F | 0% | 453 | $0.00 | |
| 3078F | 0% | 350 | $0.00 | |
| 3725F | 0% | 182 | $0.00 | |
| 1158F | 0% | 452 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 28 | $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.