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    OpenPayerNPI Medicare & MedicaidCarlos Fonts
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    Carlos Fonts — Billing Profile & Reimbursement Data

    NPI 1043286958 · Hyannis, MA · Surgery Physician

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    Carlos Fonts is a surgery physician provider located in Hyannis, Massachusetts. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCarlos Fonts
    Address100 Camp St
    CityHyannis
    StateMA
    ZIP02601
    TaxonomySurgery Physician
    NPI EnumeratedFebruary 28, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$147K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.250$240$61K
    15220This CPT code is for a free full–thickness skin graft of the scalp, arms, and/or legs that is 20 cm2 or less in size.20$650$14.2K
    11602The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs.130$100$13.8K
    11601The provider excises a cancerous (malignant) lesion, including margins, of 0.6 to 1.0 cm or less in diameter, from the skin of the trunk, arms, or legs.100$100$9.9K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.20$370$7.8K
    12034This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 7.6 to 12.5 cm in size.30$280$6.9K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…60$110$6.9K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…40$100$4K
    11606The provider excises a cancerous (malignant) lesion, including margins, over 4.0 cm in diameter, from the skin of the trunk, arms, or legs.10$360$3.9K
    49591The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of less than 3 cm. The hernias are reducible, or able to be pushed back inside…20$230$3.7K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1522051020$600$23.9K
    9921411,85415,410110$80$15.6K
    12032221030$210$10.4K
    992138,98313,70070$60$8.8K
    49650165020$410$7.8K
    992041,4485,87030$120$5.6K
    12042374030$150$4.9K
    992032,4964,29030$80$4.1K
    1160661020$250$4K
    1203452020$200$3.9K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Carlos Fonts, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nantucket Cottage HospitalMARural Acute Care Hospital$0$7.1M
    Medical Affiliates Of Cape Cod, Inc.MAInternal Medicine Physician$0$5.9M
    Lawrence ProanoRIEmergency Medicine Physician$48.4K$2.3M
    Emily TierneyMAMOHS-Micrographic Surgery Physician$2.1M$0
    Naren GuptaMAVascular Surgery Physician$1.1M$0
    Daniel GorinMASurgery Physician$1.1M$0
    Thomas MillerMAFamily Medicine Physician$364.5K$448.2K
    Evangelos GeraniotisMAUrology Physician$758.4K$0
    Benjamin LevinMAInternal Medicine Physician$683.3K$0
    John KalinMACardiovascular Disease Physician$617.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Carlos Fonts, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cape Cod Hospital IncMAGeneral Acute Care Hospital$0$86.9M
    Relief Home Health Services IncMAHome Health Agency$0$37.2M
    Harbor Health Services, Inc.MACommunity Health Clinic/Center$0$21.8M
    CapeabilitiesMADevelopmentally Disabled Services Day Training Agency$0$18M
    Duffy Health Center, IncMAFederally Qualified Health Center (FQHC)$0$16.8M
    Coastal Medical Transportation Services LLCMALand Ambulance$5.2M$10.2M
    Coastal Ambulance LLCMALand Ambulance$5.1M$8.2M
    The Commonwealth Of MassachusettsMACase Management Agency$0$9M
    Advantage Home Health Care Services LLCMAHome Health Agency$0$8.5M
    Habilitation Assistance CorportationMADevelopmentally Disabled Services Day Training Agency$0$7.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Carlos Fonts — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts