Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Aguadilla › NPI 1285977793
Physician

Cosme-Blanco, Wilfredo

Cosme-Blanco, Wilfredo was paid $370K by Medicaid between Jan 2020 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoCOSME-BLANCO, WILFREDO
AGUADILLA, PR 00603
33aNPI1285977793assigned 04/03/2013
33bProvider typePediatrics Physician
28Total paid$370K
24GClaims6,473
24DCodes billed7
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#25 of 194
Median peer was paid$7K
This provider vs. median55×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2020369$20K
2021774$38K
20221,737$106K
20232,189$130K
2024incomplete1,404$77K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43% 2,562 2,300 $158K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26% 1,218 1,183 $96K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 19% 476 459 $71K
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 5.8% 347 312 $21K
94664 4.2% 1,759 1,628 $16K
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 2.2% 98 84 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 13 12 $160.86

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.