Fuentes, Gaspar

Fuentes, Gaspar was paid $31K by Medicaid between Nov 2018 and Jul 2024, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 39% of everything it billed.

33Billing provider infoFUENTES, GASPAR
SANTURCE, PR 00915

33aNPI1023089174assigned 01/27/2006

33bProvider typeGeneral Practice Physician

28Total paid$31K

24GClaims366

24DCodes billed5

24AFirst – last monthNov 2018 – Jul 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#297 of 1,195

Median peer was paid$2K

This provider vs. median15×

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	14	$90.00
2019	20	$300.00
2020	42	$1K
2021	135	$12K
2022	42	$4K
2023	69	$8K
2024incomplete	44	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	39%	159	156	$12K
99235		30%	75	55	$9K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	17%	43	41	$5K
99234		12%	38	37	$4K
99281	Emergency department visit for the evaluation and management, self-limited or minor	2.1%	51	43	$655.00

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.