FONTANEZ RODRIGUEZ, LETICIA
NPI: 1538652938
· RIO PIEDRAS, PR 00924
· 208D00000X
$120K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
370 |
$27K |
| 2023 |
425 |
$37K |
| 2024 |
686 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99234 |
|
793 |
601 |
$73K |
| 99235 |
|
247 |
237 |
$29K |
| 99283 |
|
233 |
154 |
$11K |
| 99236 |
Prolong inpt eval add15 m |
27 |
12 |
$4K |
| 96374 |
|
95 |
91 |
$3K |
| 93010 |
|
52 |
31 |
$520.20 |
| 96372 |
|
18 |
18 |
$102.70 |
| 76140 |
|
16 |
16 |
$40.00 |