Cotto Oyola, Wilma

Cotto Oyola, Wilma was paid $17K by Medicaid between Sep 2018 and Jul 2021, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 38% of everything it billed.

33Billing provider infoCOTTO OYOLA, WILMA
BAYAMON, PR 00961

33aNPI1235320086assigned 08/07/2007

33bProvider typeGastroenterology Physician

28Total paid$17K

24GClaims275

24DCodes billed5

24AFirst – last monthSep 2018 – Jul 2021

Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#72 of 107

Median peer was paid$47K

This provider vs. median0.4×

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	28	$705.00
2019	27	$672.30
2020	63	$3K
2021	157	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	38%	16	16	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	28%	81	81	$5K
99070		14%	108	97	$2K
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	12%	30	28	$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	7.7%	40	40	$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.