Fontanez Sullivan, Felipe

Fontanez Sullivan, Felipe was paid $63K by Medicaid between Jan 2018 and Jul 2022, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoFONTANEZ SULLIVAN, FELIPE
BAYAMON, PR 00959

33aNPI1164496014assigned 02/16/2006

33bProvider typeSports Medicine (Orthopaedic Surgery) Physician

28Total paid$63K

24GClaims1,692

24DCodes billed4

24AFirst – last monthJan 2018 – Jul 2022

Compared with peers

Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in Puerto Rico

Rank by total paid#5 of 13

Median peer was paid$20K

This provider vs. median3.1×

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	419	$7K
2019	287	$6K
2020	364	$16K
2021	435	$25K
2022	187	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	55%	986	925	$35K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	301	299	$15K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	14%	301	273	$9K
20610		7.1%	104	86	$4K

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.