Physician
Pedro Ylisastigui. M.D.P.A.
Pedro Ylisastigui. M.D.P.A. was paid $296K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoPEDRO YLISASTIGUI. M.D.P.A.
LEHIGH ACRES, FL 33936
LEHIGH ACRES, FL 33936
33aNPI1295043552assigned 09/21/2010
33bProvider typeInternal Medicine Physician
28Total paid$296K
24GClaims12,191
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Florida
Rank by total paid#105 of 1,247
Median peer was paid$9K
This provider vs. median34×
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 | 680 | $1K | |
| 2019 | 1,688 | $28K | |
| 2020 | 1,960 | $28K | |
| 2021 | 1,340 | $34K | |
| 2022 | 1,383 | $52K | |
| 2023 | 2,360 | $71K | |
| 2024incomplete | 2,780 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 73% | 8,409 | 6,804 | $217K |
| 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 | 20% | 633 | 532 | $58K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 882 | 695 | $14K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 36 | 35 | $3K |
| 99490 | Ccm add 20min | <1% | 1,349 | 948 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | 14 | $1K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 12 | 12 | $518.26 |
| 93000 | <1% | 87 | 73 | $120.42 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 84 | 74 | $116.92 |
| 72100 | <1% | 12 | 12 | $80.82 | |
| 99439 | <1% | 265 | 192 | $46.23 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 183 | 150 | $36.49 |
4 more codes
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 71 | $0.00 |
| 99497 | 0% | 121 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 19 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 14 | $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.
From NPPES
Who's on the registration
Authorized officialYLISASTIGUI, PEDRO (PRESIDENT)