Physician
Gomez-Fortuna, Mairalisa
Gomez-Fortuna, Mairalisa was paid $0.00 by Medicaid between Apr 2019 and May 2019, across 3 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 0% of everything it billed.
33Billing provider infoGOMEZ-FORTUNA, MAIRALISA
CANOVANAS, PR 00729
CANOVANAS, PR 00729
33aNPI1992842090assigned 01/30/2007
33bProvider typeGeneral Practice Physician
28Total paid$0.00
24GClaims92
24DCodes billed3
24AFirst – last monthApr 2019 – May 2019
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#957 of 1,195
Median peer was paid$2K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 92 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 43 | 43 | $0.00 |
| 3078F | 0% | 32 | 32 | $0.00 | |
| 3074F | 0% | 17 | 17 | $0.00 |
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.