Costas, Pablo

Costas, Pablo was paid $396K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.

33Billing provider infoCOSTAS, PABLO
SAN JUAN, PR 00927

33aNPI1558338616assigned 03/07/2006

33bProvider typeGastroenterology Physician

28Total paid$396K

24GClaims5,978

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#32 of 107

Median peer was paid$47K

This provider vs. median8.5×

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	873	$25K
2019	1,264	$54K
2020	813	$47K
2021	786	$68K
2022	795	$68K
2023	877	$80K
2024incomplete	570	$55K

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	29%	2,254	2,117	$115K
99222	Initial hospital care, per day, moderate complexity	21%	827	766	$83K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	15%	858	456	$59K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	11%	162	159	$45K
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	11%	745	723	$43K
99442		5.5%	448	416	$22K
99254		4.8%	521	501	$19K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.9%	151	143	$7K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	12	12	$3K

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.