Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Fajardo › NPI 1235803586
Physician

Bonilla Benitez, Sebastian

Bonilla Benitez, Sebastian was paid $10K by Medicaid between Aug 2023 and Mar 2024, across 2 billing codes. Its largest line is 99284, emergency room visit (serious) — 52% of everything it billed.

33Billing provider infoBONILLA BENITEZ, SEBASTIAN
FAJARDO, PR 00738
33aNPI1235803586assigned 08/02/2021
28Total paid$10K
24GClaims146
24DCodes billed2
24AFirst – last monthAug 2023 – Mar 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#406 of 1,195
Median peer was paid$2K
This provider vs. median5.1×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
202368$4K
2024incomplete78$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 52% 54 42 $5K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 48% 92 70 $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.