Adorno Fontanez, Jose

Adorno Fontanez, Jose was paid $222K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 66% of everything it billed.

33Billing provider infoADORNO FONTANEZ, JOSE
CAGUAS, PR 00725

33aNPI1306040787assigned 06/12/2007

33bProvider typeInternal Medicine Physician

28Total paid$222K

24GClaims3,423

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#67 of 518

Median peer was paid$5K

This provider vs. median44×

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	745	$16K
2019	443	$11K
2020	178	$10K
2021	559	$43K
2022	408	$30K
2023	429	$39K
2024incomplete	661	$73K

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	66%	2,498	997	$146K
99223	Prolong inpt eval add15 m	17%	227	80	$37K
99222	Initial hospital care, per day, moderate complexity	9.6%	228	216	$21K
99254		4.0%	211	193	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.9%	112	53	$6K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.1%	147	81	$2K

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.