Physician
Servicios Medicos Integrados De Fajardo, P.S.C.
Servicios Medicos Integrados De Fajardo, P.S.C. was paid $2.75M by Medicaid between Jan 2018 and Dec 2024, across 268 billing codes. Its largest line is 99283, emergency room visit (moderate) — 21% of everything it billed.
33Billing provider infoSERVICIOS MEDICOS INTEGRADOS DE FAJARDO, P.S.C.
FAJARDO, PR 00738
FAJARDO, PR 00738
33aNPI1407001829assigned 11/26/2008
33bProvider typeInternal Medicine Physician
28Total paid$2.75M
24GClaims994,421
24DCodes billed268
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#3 of 518
Median peer was paid$5K
This provider vs. median552×
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 | 124,502 | $35K | |
| 2019 | 141,170 | $82K | |
| 2020 | 106,229 | $90K | |
| 2021 | 146,588 | $149K | |
| 2022 | 139,369 | $306K | |
| 2023 | 180,112 | $1.02M | |
| 2024incomplete | 156,451 | $1.07M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 21% | 16,778 | 12,598 | $580K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 15% | 5,152 | 4,000 | $422K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 14% | 6,481 | 5,144 | $383K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 4,618 | 2,161 | $292K |
| 99223 | Prolong inpt eval add15 m | 9.8% | 2,874 | 2,454 | $268K |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.6% | 2,873 | 2,476 | $155K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.9% | 203,539 | 167,924 | $135K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 10,023 | 9,348 | $32K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.1% | 3,940 | 3,089 | $31K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.0% | 4,065 | 3,417 | $28K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,469 | 1,188 | $27K |
| 80061 | Lipid panel | <1% | 8,580 | 7,635 | $24K |
256 more codes
| 80053 | Comprehensive metabolic panel | <1% | 4,573 | $19K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 721 | $19K |
| 99070 | <1% | 1,776 | $17K | |
| 58558 | <1% | 257 | $17K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 62,142 | $17K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,726 | $17K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,822 | $16K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 871 | $16K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 28,136 | $16K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14,632 | $15K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,033 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,199 | $12K |
| 92015 | Determination of refractive state | <1% | 4,045 | $11K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,514 | $10K |
| 82274 | <1% | 1,090 | $10K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,228 | $10K |
| 99441 | <1% | 26,953 | $10K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 397 | $9K |
| 76641 | <1% | 6,049 | $9K | |
| 81000 | <1% | 5,533 | $7K | |
| 93000 | <1% | 5,521 | $7K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 265 | $5K |
| 82043 | <1% | 1,393 | $5K | |
| 92002 | <1% | 1,972 | $5K | |
| 86738 | <1% | 434 | $4K | |
| 92201 | <1% | 980 | $4K | |
| 84439 | <1% | 563 | $4K | |
| 97803 | <1% | 2,392 | $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 | <1% | 7,616 | $4K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,805 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 27,249 | $3K |
| 82607 | <1% | 248 | $3K | |
| 84153 | <1% | 262 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 3,503 | $3K |
| 82570 | <1% | 1,055 | $3K | |
| 92588 | <1% | 833 | $3K | |
| 99243 | <1% | 1,706 | $2K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 109 | $2K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 109 | $2K |
| 99442 | <1% | 3,119 | $2K | |
| 43235 | <1% | 27 | $2K | |
| 76830 | Ultrasound, transvaginal | <1% | 370 | $2K |
| 97802 | <1% | 1,044 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,914 | $2K |
| 92557 | <1% | 574 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,821 | $1K |
| 92550 | <1% | 637 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 346 | $1K |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | <1% | 46 | $1K |
| 86592 | <1% | 422 | $1K | |
| 99252 | <1% | 205 | $990.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 7,013 | $939.66 |
| 84156 | <1% | 705 | $858.16 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 8,727 | $822.26 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 494 | $782.00 |
| 96152 | <1% | 771 | $715.83 | |
| 99254 | <1% | 552 | $670.00 | |
| 92100 | <1% | 950 | $665.94 | |
| 77080 | <1% | 862 | $601.16 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 61 | $564.63 |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 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% | 1,675 | $396.94 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 565 | $394.11 |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 44 | $389.72 |
| 93307 | <1% | 12 | $382.50 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 96 | $377.00 |
| 20610 | <1% | 242 | $336.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,971 | $303.00 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 177 | $295.10 |
| 99344 | <1% | 28 | $288.25 | |
| 99241 | <1% | 15 | $275.00 | |
| 99255 | <1% | 266 | $270.00 | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 48 | $265.20 |
| 92587 | <1% | 829 | $240.00 | |
| 99251 | <1% | 85 | $205.90 | |
| 96160 | <1% | 13,976 | $203.50 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 28 | $174.25 |
| 94760 | <1% | 676 | $168.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 235 | $161.98 |
| 92552 | <1% | 813 | $154.10 | |
| 99401 | <1% | 12,406 | $143.99 | |
| 99348 | <1% | 223 | $133.16 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 32 | $120.00 |
| 94375 | <1% | 65 | $119.00 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 389 | $108.40 |
| 92567 | <1% | 937 | $107.72 | |
| 94010 | <1% | 91 | $101.00 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 178 | $92.00 |
| 99205 | Prolong outpt/office vis | <1% | 1,671 | $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 | <1% | 598 | $88.00 |
| 92060 | <1% | 248 | $88.00 | |
| 94770 | <1% | 62 | $87.00 | |
| 99253 | <1% | 31 | $80.00 | |
| 96150 | <1% | 1,918 | $74.96 | |
| 94727 | <1% | 77 | $65.00 | |
| 86701 | <1% | 74 | $64.34 | |
| 85027 | <1% | 1,016 | $61.20 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 14 | $60.00 |
| 64640 | <1% | 144 | $58.50 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,655 | $57.02 |
| 94060 | <1% | 45 | $37.25 | |
| 99383 | <1% | 487 | $33.62 | |
| 99381 | <1% | 130 | $33.62 | |
| 94200 | <1% | 64 | $33.00 | |
| 99384 | <1% | 147 | $30.00 | |
| 92202 | <1% | 39 | $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 | <1% | 487 | $26.87 |
| A6248 | Hydrogel dressing, wound filler, gel, per fluid ounce | <1% | 305 | $20.73 |
| 80050 | General health panel | <1% | 641 | $20.14 |
| A6253 | Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing | <1% | 356 | $16.26 |
| 96127 | <1% | 4,957 | $14.79 | |
| 92551 | <1% | 1,960 | $12.01 | |
| A6254 | Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 406 | $9.42 |
| A6207 | Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | <1% | 79 | $9.38 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,399 | $7.01 |
| 94150 | <1% | 62 | $7.00 | |
| A6219 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 93 | $3.66 |
| 85018 | <1% | 1,043 | $2.27 | |
| 85014 | <1% | 449 | $2.27 | |
| 99173 | <1% | 2,725 | $1.60 | |
| A6260 | Wound cleansers, any type, any size | <1% | 496 | $0.53 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 87 | $0.48 |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 562 | $0.36 |
| 99368 | <1% | 926 | $0.03 | |
| 99177 | <1% | 95 | $0.03 | |
| 3008F | <1% | 40,738 | $0.02 | |
| 98960 | <1% | 1,881 | $0.02 | |
| 1159F | <1% | 26,098 | $0.02 | |
| 1160F | <1% | 29,273 | $0.02 | |
| 99406 | <1% | 261 | $0.01 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,523 | $0.01 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 50 | $0.01 |
| 2001F | 0% | 11,803 | $0.00 | |
| 2010F | 0% | 11,560 | $0.00 | |
| 3074F | 0% | 56,238 | $0.00 | |
| 1036F | 0% | 2,740 | $0.00 | |
| 3079F | 0% | 9,633 | $0.00 | |
| 1170F | 0% | 8,511 | $0.00 | |
| 3061F | 0% | 3,447 | $0.00 | |
| 3011F | 0% | 2,139 | $0.00 | |
| 2000F | 0% | 3,919 | $0.00 | |
| 3044F | 0% | 4,149 | $0.00 | |
| 1126F | 0% | 19,661 | $0.00 | |
| 3048F | 0% | 4,868 | $0.00 | |
| 1157F | 0% | 7,328 | $0.00 | |
| 3352F | 0% | 62 | $0.00 | |
| 3049F | 0% | 1,135 | $0.00 | |
| 3075F | 0% | 4,670 | $0.00 | |
| 1125F | 0% | 14,362 | $0.00 | |
| 3080F | 0% | 2,861 | $0.00 | |
| 3014F | 0% | 1,228 | $0.00 | |
| 3017F | 0% | 3,033 | $0.00 | |
| 1101F | 0% | 107 | $0.00 | |
| 99050 | 0% | 2,189 | $0.00 | |
| 3279F | 0% | 2,350 | $0.00 | |
| 1111F | 0% | 1,506 | $0.00 | |
| 3351F | 0% | 30 | $0.00 | |
| 1031F | 0% | 1,441 | $0.00 | |
| 3060F | 0% | 96 | $0.00 | |
| 92285 | 0% | 222 | $0.00 | |
| 99443 | 0% | 921 | $0.00 | |
| 0513F | 0% | 453 | $0.00 | |
| 1123F | 0% | 83 | $0.00 | |
| 99174 | 0% | 514 | $0.00 | |
| 92250 | 0% | 172 | $0.00 | |
| 83986 | 0% | 300 | $0.00 | |
| 3066F | 0% | 20 | $0.00 | |
| 87088 | 0% | 85 | $0.00 | |
| 81001 | 0% | 493 | $0.00 | |
| 96112 | 0% | 128 | $0.00 | |
| 2023F | 0% | 19 | $0.00 | |
| 96161 | 0% | 556 | $0.00 | |
| 4010F | 0% | 814 | $0.00 | |
| S9097 | Home visit for wound care | 0% | 2,812 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 100 | $0.00 |
| 99429 | 0% | 142 | $0.00 | |
| 3072F | 0% | 24 | $0.00 | |
| 3037F | 0% | 14 | $0.00 | |
| 1035F | 0% | 94 | $0.00 | |
| 1000F | 0% | 42 | $0.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 14 | $0.00 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 0% | 14 | $0.00 |
| 99349 | 0% | 41 | $0.00 | |
| 83861 | 0% | 44 | $0.00 | |
| 1034F | 0% | 74 | $0.00 | |
| 87625 | 0% | 12 | $0.00 | |
| A6261 | Wound filler, gel/paste, per fluid ounce, not otherwise specified | 0% | 77 | $0.00 |
| 96156 | 0% | 46 | $0.00 | |
| 0509F | 0% | 44 | $0.00 | |
| 57410 | 0% | 14 | $0.00 | |
| 99402 | 0% | 21 | $0.00 | |
| 82270 | 0% | 29 | $0.00 | |
| 84479 | 0% | 13 | $0.00 | |
| 97804 | 0% | 88 | $0.00 | |
| 92136 | 0% | 12 | $0.00 | |
| 99341 | 0% | 13 | $0.00 | |
| 84436 | 0% | 14 | $0.00 | |
| 4305F | 0% | 20 | $0.00 | |
| 99343 | 0% | 16 | $0.00 | |
| 99345 | Prolong home eval add 15m | 0% | 16 | $0.00 |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 0% | 57 | $0.00 |
| 1158F | 0% | 14,454 | $0.00 | |
| 92020 | 0% | 26 | $0.00 | |
| 3078F | 0% | 55,093 | $0.00 | |
| 99408 | 0% | 2,516 | $0.00 | |
| 3050F | 0% | 488 | $0.00 | |
| 99411 | 0% | 5,422 | $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 | 0% | 15 | $0.00 |
| 0521F | 0% | 10,268 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 584 | $0.00 |
| 3077F | 0% | 7,621 | $0.00 | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 0% | 526 | $0.00 |
| 1090F | 0% | 1,227 | $0.00 | |
| 99245 | 0% | 1,340 | $0.00 | |
| 3725F | 0% | 2,163 | $0.00 | |
| 3280F | 0% | 638 | $0.00 | |
| 1033F | 0% | 1,986 | $0.00 | |
| 99382 | 0% | 100 | $0.00 | |
| 1032F | 0% | 29 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 401 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,128 | $0.00 |
| 99347 | 0% | 491 | $0.00 | |
| 0518F | 0% | 125 | $0.00 | |
| 2028F | 0% | 89 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 69 | $0.00 |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 0% | 61 | $0.00 |
| 2022F | 0% | 151 | $0.00 | |
| 11000 | 0% | 48 | $0.00 | |
| 92083 | 0% | 148 | $0.00 | |
| 3028F | 0% | 73 | $0.00 | |
| 3096F | 0% | 37 | $0.00 | |
| 3051F | 0% | 209 | $0.00 | |
| 76514 | 0% | 26 | $0.00 | |
| 00840 | 0% | 13 | $0.00 | |
| 83655 | 0% | 312 | $0.00 | |
| 82465 | 0% | 204 | $0.00 | |
| 99367 | 0% | 234 | $0.00 | |
| 4035F | 0% | 97 | $0.00 | |
| A4452 | Tape, waterproof, per 18 square inches | 0% | 283 | $0.00 |
| 96367 | 0% | 71 | $0.00 | |
| 3046F | 0% | 139 | $0.00 | |
| 99201 | 0% | 63 | $0.00 | |
| 85610 | 0% | 12 | $0.00 | |
| Q0084 | Chemotherapy administration by infusion technique only, per visit | 0% | 76 | $0.00 |
| 87177 | 0% | 12 | $0.00 | |
| 96159 | 0% | 16 | $0.00 | |
| 3045F | 0% | 33 | $0.00 | |
| 4004F | 0% | 60 | $0.00 | |
| 86631 | 0% | 13 | $0.00 | |
| 99497 | 0% | 32 | $0.00 | |
| 96402 | 0% | 76 | $0.00 | |
| 92568 | 0% | 12 | $0.00 | |
| 99334 | 0% | 16 | $0.00 | |
| 99242 | 0% | 13 | $0.00 | |
| 94729 | 0% | 12 | $0.00 | |
| 0555F | 0% | 13 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialFONTANEZ, AGAPITO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Servicios Medicos Integrados De Fajardo, P.S.C. | Fajardo, PR | $560K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.