Physician
Cadiz Fuentes, Carlene
Cadiz Fuentes, Carlene was paid $1.18M by Medicaid between Mar 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoCADIZ FUENTES, CARLENE
AIBONITO, PR 00705
AIBONITO, PR 00705
33aNPI1912249897assigned 03/19/2013
33bProvider typeObstetrics & Gynecology Physician
28Total paid$1.18M
24GClaims22,824
24DCodes billed23
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Puerto Rico
Rank by total paid#4 of 185
Median peer was paid$53K
This provider vs. median22×
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 | 2,049 | $32K | |
| 2019 | 3,268 | $99K | |
| 2020 | 3,287 | $177K | |
| 2021 | 3,381 | $163K | |
| 2022 | 4,284 | $194K | |
| 2023 | 3,609 | $293K | |
| 2024incomplete | 2,946 | $222K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 9,404 | 8,330 | $432K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 2,505 | 2,299 | $141K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 10% | 90 | 84 | $119K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.7% | 3,205 | 2,689 | $114K |
| 58558 | 9.6% | 100 | 85 | $113K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 9.5% | 4,033 | 3,681 | $112K |
| 76830 | Ultrasound, transvaginal | 3.2% | 366 | 255 | $37K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.6% | 630 | 586 | $30K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.1% | 197 | 91 | $13K |
| 57454 | 1.0% | 64 | 60 | $12K | |
| 99241 | <1% | 626 | 624 | $12K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 108 | 78 | $12K |
11 more codes
| 59025 | Fetal non-stress test | <1% | 396 | $11K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 751 | $9K |
| 99442 | <1% | 112 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 41 | $2K |
| 76801 | <1% | 29 | $2K | |
| 99243 | <1% | 53 | $2K | |
| 58100 | <1% | 38 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 30 | $506.52 |
| 88150 | <1% | 22 | $225.72 | |
| 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% | 12 | $216.17 |
| 59430 | <1% | 12 | $200.00 |
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.