Diaz-Fuentes, Gilda

Diaz-Fuentes, Gilda was paid $79K by Medicaid between Feb 2018 and Nov 2024, across 9 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 52% of everything it billed.

33Billing provider infoDIAZ-FUENTES, GILDA
BRONX, NY 10457

33aNPI1073553848assigned 06/08/2006

33bProvider typePulmonary Disease Physician

28Total paid$79K

24GClaims3,398

24DCodes billed9

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in New York

Rank by total paid#80 of 413

Median peer was paid$8K

This provider vs. median10×

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	164	$1K
2019	935	$10K
2020	414	$17K
2021	611	$14K
2022	590	$17K
2023	413	$13K
2024incomplete	271	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	52%	762	344	$41K
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	37%	1,332	1,303	$29K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	3.3%	113	63	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.7%	118	82	$2K
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%	124	122	$1K
94060		1.7%	285	284	$1K
94727		<1%	193	193	$521.32
94729		<1%	195	194	$385.11
99429		0%	276	249	$0.00

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.