Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SERVICIOS MEDICOS INTEGRADOS DE FAJARDO, P.S.C.

NPI: 1407001829 · FAJARDO, PR 00738 · Internal Medicine Physician · NPI assigned 11/26/2008

$2.75M
Total Medicaid Paid
994,421
Total Claims
847,969
Beneficiaries
268
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFONTANEZ, AGAPITO (PRESIDENT)
NPI Enumeration Date11/26/2008

Related Entities

Other providers sharing the same authorized official: FONTANEZ, AGAPITO

ProviderCityStateTotal Paid
SERVICIOS MEDICOS INTEGRADOS DE FAJARDO, P.S.C. FAJARDO PR $560K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 124,502 $35K
2019 141,170 $82K
2020 106,229 $90K
2021 146,588 $149K
2022 139,369 $306K
2023 180,112 $1.02M
2024 156,451 $1.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 16,778 12,598 $580K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,152 4,000 $422K
99284 Emergency department visit for the evaluation and management, high severity 6,481 5,144 $383K
99233 Prolong inpt eval add15 m 4,618 2,161 $292K
99223 Prolong inpt eval add15 m 2,874 2,454 $268K
99239 Hospital discharge day management, more than 30 minutes 2,873 2,476 $155K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 203,539 167,924 $135K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10,023 9,348 $32K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,940 3,089 $31K
84443 Thyroid stimulating hormone (TSH) 4,065 3,417 $28K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,469 1,188 $27K
80061 Lipid panel 8,580 7,635 $24K
80053 Comprehensive metabolic panel 4,573 3,883 $19K
99282 Emergency department visit for the evaluation and management, low to moderate severity 721 548 $19K
99070 1,776 1,530 $17K
58558 257 220 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 62,142 52,004 $17K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,726 4,795 $17K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,822 1,670 $16K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 871 647 $16K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28,136 23,624 $16K
99215 Prolong outpt/office vis 14,632 12,627 $15K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,033 962 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,199 470 $12K
92015 Determination of refractive state 4,045 3,883 $11K
83036 Hemoglobin; glycosylated (A1C) 2,514 2,077 $10K
82274 1,090 831 $10K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,228 1,055 $10K
99441 26,953 22,360 $10K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 397 396 $9K
76641 6,049 3,045 $9K
81000 5,533 4,773 $7K
93000 5,521 5,290 $7K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 265 184 $5K
82043 1,393 1,060 $5K
92002 1,972 1,935 $5K
86738 434 295 $4K
92201 980 462 $4K
84439 563 418 $4K
97803 2,392 2,355 $4K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 7,616 5,776 $4K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,805 1,735 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 27,249 22,504 $3K
82607 248 158 $3K
84153 262 184 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,503 3,313 $3K
82570 1,055 846 $3K
92588 833 819 $3K
99243 1,706 1,670 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 109 82 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 109 82 $2K
99442 3,119 2,873 $2K
43235 27 27 $2K
76830 Ultrasound, transvaginal 370 353 $2K
97802 1,044 1,032 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,914 1,881 $2K
92557 574 563 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,821 1,704 $1K
92550 637 627 $1K
90791 Psychiatric diagnostic evaluation 346 332 $1K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 46 45 $1K
86592 422 335 $1K
99252 205 181 $990.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,013 6,051 $939.66
84156 705 599 $858.16
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,727 7,443 $822.26
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 494 448 $782.00
96152 771 511 $715.83
99254 552 422 $670.00
92100 950 492 $665.94
77080 862 861 $601.16
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 61 52 $564.63
72148 Magnetic resonance imaging, lumbar spine; without contrast material 66 66 $465.83
A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 1,675 253 $396.94
80048 Basic metabolic panel (calcium, ionized) 565 542 $394.11
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 44 39 $389.72
93307 12 12 $382.50
99232 Subsequent hospital care, per day, moderate complexity 96 84 $377.00
20610 242 202 $336.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,971 4,273 $303.00
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 177 167 $295.10
99344 28 27 $288.25
99241 15 14 $275.00
99255 266 256 $270.00
76700 Ultrasound, abdominal, real time with image documentation; complete 48 48 $265.20
92587 829 792 $240.00
99251 85 84 $205.90
96160 13,976 12,700 $203.50
87086 Culture, bacterial; quantitative colony count, urine 28 12 $174.25
94760 676 595 $168.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 235 198 $161.98
92552 813 776 $154.10
99401 12,406 9,829 $143.99
99348 223 197 $133.16
90832 Psychotherapy, 30 minutes with patient 32 20 $120.00
94375 65 64 $119.00
99222 Initial hospital care, per day, moderate complexity 389 360 $108.40
92567 937 894 $107.72
94010 91 76 $101.00
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 178 117 $92.00
99205 Prolong outpt/office vis 1,671 1,577 $89.00
A6213 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing 598 114 $88.00
92060 248 246 $88.00
94770 62 62 $87.00
99253 31 31 $80.00
96150 1,918 1,854 $74.96
94727 77 73 $65.00
86701 74 74 $64.34
85027 1,016 939 $61.20
90847 Family psychotherapy with the patient present, 50 minutes 14 12 $60.00
64640 144 128 $58.50
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,655 2,446 $57.02
94060 45 32 $37.25
99383 487 479 $33.62
99381 130 121 $33.62
94200 64 64 $33.00
99384 147 143 $30.00
92202 39 12 $30.00
A6223 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing 487 115 $26.87
A6248 Hydrogel dressing, wound filler, gel, per fluid ounce 305 85 $20.73
80050 General health panel 641 639 $20.14
A6253 Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing 356 79 $16.26
96127 4,957 4,636 $14.79
92551 1,960 1,936 $12.01
A6254 Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 406 101 $9.42
A6207 Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 79 17 $9.38
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,399 1,147 $7.01
94150 62 62 $7.00
A6219 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 93 24 $3.66
85018 1,043 1,033 $2.27
85014 449 446 $2.27
99173 2,725 2,585 $1.60
A6260 Wound cleansers, any type, any size 496 118 $0.53
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 87 63 $0.48
A4450 Tape, non-waterproof, per 18 square inches 562 165 $0.36
99368 926 910 $0.03
99177 95 95 $0.03
3008F 40,738 36,330 $0.02
98960 1,881 1,474 $0.02
1159F 26,098 23,742 $0.02
1160F 29,273 26,226 $0.02
99406 261 251 $0.01
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,523 1,463 $0.01
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 50 46 $0.01
2001F 11,803 9,959 $0.00
2010F 11,560 9,724 $0.00
3074F 56,238 49,674 $0.00
1036F 2,740 2,497 $0.00
3079F 9,633 8,703 $0.00
1170F 8,511 7,727 $0.00
3061F 3,447 3,260 $0.00
3011F 2,139 1,886 $0.00
2000F 3,919 3,495 $0.00
3044F 4,149 3,834 $0.00
1126F 19,661 17,672 $0.00
3048F 4,868 4,500 $0.00
1157F 7,328 6,553 $0.00
3352F 62 62 $0.00
3049F 1,135 1,086 $0.00
3075F 4,670 4,216 $0.00
1125F 14,362 12,799 $0.00
3080F 2,861 2,603 $0.00
3014F 1,228 1,055 $0.00
3017F 3,033 2,838 $0.00
1101F 107 106 $0.00
99050 2,189 2,073 $0.00
3279F 2,350 2,154 $0.00
1111F 1,506 1,285 $0.00
3351F 30 30 $0.00
1031F 1,441 1,340 $0.00
3060F 96 85 $0.00
92285 222 222 $0.00
99443 921 794 $0.00
0513F 453 422 $0.00
1123F 83 69 $0.00
99174 514 507 $0.00
92250 172 172 $0.00
83986 300 282 $0.00
3066F 20 14 $0.00
87088 85 85 $0.00
81001 493 484 $0.00
96112 128 113 $0.00
2023F 19 19 $0.00
96161 556 522 $0.00
4010F 814 742 $0.00
S9097 Home visit for wound care 2,812 398 $0.00
90834 Psychotherapy, 45 minutes with patient 100 86 $0.00
99429 142 141 $0.00
3072F 24 24 $0.00
3037F 14 14 $0.00
1035F 94 69 $0.00
1000F 42 40 $0.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 14 12 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 14 14 $0.00
99349 41 41 $0.00
83861 44 30 $0.00
1034F 74 62 $0.00
87625 12 12 $0.00
A6261 Wound filler, gel/paste, per fluid ounce, not otherwise specified 77 29 $0.00
96156 46 46 $0.00
0509F 44 43 $0.00
57410 14 13 $0.00
99402 21 18 $0.00
82270 29 29 $0.00
84479 13 13 $0.00
97804 88 82 $0.00
92136 12 12 $0.00
99341 13 13 $0.00
84436 14 14 $0.00
4305F 20 15 $0.00
99343 16 16 $0.00
99345 Prolong home eval add 15m 16 16 $0.00
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 57 13 $0.00
1158F 14,454 12,541 $0.00
92020 26 26 $0.00
3078F 55,093 48,612 $0.00
99408 2,516 2,442 $0.00
3050F 488 474 $0.00
99411 5,422 4,993 $0.00
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment 15 15 $0.00
0521F 10,268 9,141 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 584 567 $0.00
3077F 7,621 6,790 $0.00
99244 Office or other outpatient consultation, moderate to high complexity 526 471 $0.00
1090F 1,227 1,131 $0.00
99245 1,340 1,271 $0.00
3725F 2,163 2,071 $0.00
3280F 638 607 $0.00
1033F 1,986 1,869 $0.00
99382 100 95 $0.00
1032F 29 28 $0.00
90837 Psychotherapy, 53 minutes with patient 401 359 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,128 916 $0.00
99347 491 488 $0.00
0518F 125 112 $0.00
2028F 89 70 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 69 68 $0.00
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 61 37 $0.00
2022F 151 84 $0.00
11000 48 39 $0.00
92083 148 148 $0.00
3028F 73 72 $0.00
3096F 37 37 $0.00
3051F 209 196 $0.00
76514 26 26 $0.00
00840 13 13 $0.00
83655 312 301 $0.00
82465 204 204 $0.00
99367 234 232 $0.00
4035F 97 91 $0.00
A4452 Tape, waterproof, per 18 square inches 283 98 $0.00
96367 71 36 $0.00
3046F 139 137 $0.00
99201 63 60 $0.00
85610 12 12 $0.00
Q0084 Chemotherapy administration by infusion technique only, per visit 76 38 $0.00
87177 12 12 $0.00
96159 16 13 $0.00
3045F 33 25 $0.00
4004F 60 49 $0.00
86631 13 13 $0.00
99497 32 32 $0.00
96402 76 38 $0.00
92568 12 12 $0.00
99334 16 16 $0.00
99242 13 13 $0.00
94729 12 12 $0.00
0555F 13 12 $0.00