Fumero, Jose

Fumero, Jose was paid $97K by Medicaid between Feb 2018 and Aug 2024, across 4 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 65% of everything it billed.

33Billing provider infoFUMERO, JOSE
SAN JUAN, PR 00910

33aNPI1033175856assigned 04/21/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$97K

24GClaims1,590

24DCodes billed4

24AFirst – last monthFeb 2018 – Aug 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Puerto Rico

Rank by total paid#35 of 61

Median peer was paid$122K

This provider vs. median0.8×

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	119	$3K
2019	42	$910.00
2020	366	$19K
2021	542	$28K
2022	121	$8K
2023	217	$19K
2024incomplete	183	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	65%	891	849	$63K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	396	366	$22K
20611		7.9%	118	114	$8K
73560		5.0%	185	173	$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.