Physician
Abreu Delgado, Yamilka
Abreu Delgado, Yamilka was paid $1.21M by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 34% of everything it billed.
33Billing provider infoABREU DELGADO, YAMILKA
HUMACAO, PR 00791
HUMACAO, PR 00791
33aNPI1164670295assigned 09/03/2008
33bProvider typeGastroenterology Physician
28Total paid$1.21M
24GClaims9,273
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Puerto Rico
Rank by total paid#9 of 107
Median peer was paid$47K
This provider vs. median26×
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 | 745 | $68K | |
| 2019 | 1,664 | $150K | |
| 2020 | 585 | $45K | |
| 2021 | 1,539 | $233K | |
| 2022 | 1,417 | $181K | |
| 2023 | 1,402 | $208K | |
| 2024incomplete | 1,921 | $329K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 34% | 1,065 | 975 | $410K |
| 99070 | 17% | 2,349 | 2,077 | $208K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 14% | 296 | 279 | $172K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 2,891 | 2,573 | $154K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 9.6% | 996 | 821 | $117K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 6.9% | 273 | 256 | $84K |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | 4.5% | 1,166 | 1,048 | $55K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 237 | 215 | $15K |
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.