Wagner, James

Wagner, James was paid $194K by Medicaid between Apr 2018 and Oct 2024, across 4 billing codes. Its largest line is 76805, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation — 54% of everything it billed.

33Billing provider infoWAGNER, JAMES
CAYEY, PR 00736

33aNPI1326188293assigned 02/08/2007

33bProvider typeObstetrics & Gynecology Physician

28Total paid$194K

24GClaims3,955

24DCodes billed4

24AFirst – last monthApr 2018 – Oct 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Puerto Rico

Rank by total paid#39 of 185

Median peer was paid$53K

This provider vs. median3.6×

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	187	$4K
2019	333	$5K
2020	485	$20K
2021	941	$53K
2022	708	$41K
2023	662	$42K
2024incomplete	639	$29K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	54%	1,065	887	$104K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	40%	2,748	2,169	$77K
57454		3.8%	36	30	$7K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	2.9%	106	103	$6K

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.