Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Bonilla-Valentin, Fernando

Bonilla-Valentin, Fernando was paid $133K by Medicaid between Apr 2023 and Nov 2024, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 42% of everything it billed.

33Billing provider infoBONILLA-VALENTIN, FERNANDO
SAN JUAN, PR 00921
33aNPI1780046094assigned 03/25/2016
28Total paid$133K
24GClaims1,211
24DCodes billed5
24AFirst – last monthApr 2023 – Nov 2024
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Puerto Rico

Rank by total paid#27 of 77
Median peer was paid$39K
This provider vs. median3.4×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2023512$51K
2024incomplete699$82K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 42% 158 150 $56K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28% 587 545 $37K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 375 364 $20K
45380 Colonoscopy, flexible; with biopsy, single or multiple 12% 67 64 $16K
99223 Prolong inpt eval add15 m 2.8% 24 24 $4K

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.