Adorno-Fontanez, Edgardo

Adorno-Fontanez, Edgardo was paid $119K by Medicaid between Jan 2018 and Jun 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 70% of everything it billed.

33Billing provider infoADORNO-FONTANEZ, EDGARDO
GUAYNABO, PR 00969

33aNPI1063615508assigned 06/11/2007

33bProvider typePulmonary Disease Physician

28Total paid$119K

24GClaims2,557

24DCodes billed6

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Puerto Rico

Rank by total paid#22 of 55

Median peer was paid$68K

This provider vs. median1.7×

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	922	$21K
2019	559	$15K
2020	203	$13K
2021	473	$37K
2022	347	$28K
2023	28	$2K
2024incomplete	25	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	70%	2,031	853	$83K
99222	Initial hospital care, per day, moderate complexity	18%	221	220	$21K
99254		9.7%	265	257	$11K
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	1.2%	12	12	$1K
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	<1%	12	12	$1K
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%	16	16	$1K

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.