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
FAJARDO, PR 00738
33aNPI1235803586assigned 08/02/2021
33bProvider typeGeneral Practice Physician
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
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 | |
|---|---|---|---|
| 2023 | 68 | $4K | |
| 2024incomplete | 78 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.