Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Fullana, Altagracia

Fullana, Altagracia was paid $99K by Medicaid between Feb 2018 and Nov 2024, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 50% of everything it billed.

33Billing provider infoFULLANA, ALTAGRACIA
MANATI, PR 00674
33aNPI1922301985assigned 12/14/2010
33bProvider typePediatrics Physician
28Total paid$99K
24GClaims929
24DCodes billed5
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#43 of 194
Median peer was paid$7K
This provider vs. median15×

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$10K$20K2018201920202021202220232024
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
2018101$2K
2023170$22K
2024incomplete658$76K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 50% 321 249 $49K
99223 Prolong inpt eval add15 m 35% 312 245 $34K
99221 14% 244 199 $14K
99238 Hospital discharge day management, 30 minutes or less 1.3% 30 22 $1K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 22 19 $40.00

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.