MATTA FONTANET, EVELYN
NPI: 1700822574
· RIO GRANDE, PR 00745
· Internal Medicine Physician
· NPI assigned 06/21/2006
$110.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
172 |
$110.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 3078F |
|
41 |
39 |
$70.00 |
| 3074F |
|
28 |
28 |
$40.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
87 |
$0.00 |