Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Wilma Cotto PSC

Wilma Cotto PSC was paid $63K by Medicaid between Aug 2021 and Dec 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoWILMA COTTO PSC
BAYAMON, PR 00961
33aNPI1457871295assigned 06/22/2017
28Total paid$63K
24GClaims843
24DCodes billed5
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#50 of 107
Median peer was paid$47K
This provider vs. median1.4×

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

$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
2021115$6K
2022242$13K
2023322$29K
2024incomplete164$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 72% 554 551 $45K
99070 9.4% 224 201 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 7.0% 13 13 $4K
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 6.0% 39 39 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple 6.0% 13 13 $4K

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 officialCOTTO, WILMA (GASTROENTEROLOGA)