Physician
Coste-Sibilia, Santiago
Coste-Sibilia, Santiago was paid $1.30M by Medicaid between Jan 2020 and Dec 2024, across 11 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 28% of everything it billed.
33Billing provider infoCOSTE-SIBILIA, SANTIAGO
BAYAMON, PR 00959
BAYAMON, PR 00959
33aNPI1629413323assigned 05/08/2013
33bProvider typeGastroenterology Physician
28Total paid$1.30M
24GClaims11,282
24DCodes billed11
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Puerto Rico
Rank by total paid#8 of 107
Median peer was paid$47K
This provider vs. median28×
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 | |
|---|---|---|---|
| 2020 | 1,295 | $132K | |
| 2021 | 1,032 | $97K | |
| 2022 | 1,075 | $114K | |
| 2023 | 2,636 | $300K | |
| 2024incomplete | 5,244 | $661K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 28% | 1,085 | 772 | $366K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 4,143 | 2,903 | $265K |
| 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 | 17% | 1,788 | 1,303 | $215K |
| 99223 | Prolong inpt eval add15 m | 10% | 904 | 744 | $131K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 9.0% | 416 | 277 | $117K |
| 99070 | 6.4% | 2,081 | 1,414 | $83K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 5.1% | 114 | 57 | $66K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 2.5% | 125 | 90 | $32K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 176 | 131 | $14K |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 379 | 234 | $9K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 71 | 49 | $5K |
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.