Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidGriselle Fortuna Morales
    Ask Trek AI about this page

    Griselle Fortuna Morales — Billing Profile & Reimbursement Data

    NPI 1396929477 · Mayaguez, PR · Internal Medicine Physician

    Customize your policy alerts

    Sign up for Griselle Fortuna Morales — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Griselle Fortuna Morales is a internal medicine physician provider located in Mayaguez, Puerto Rico. This profile covers 5 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationGriselle Fortuna Morales
    Address429 Calle Alameda
    CityMayaguez
    StatePR
    ZIP00680
    TaxonomyInternal Medicine Physician
    NPI EnumeratedDecember 24, 2007

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

    Payer SourceTotal Paid
    Medicare$40.3K
    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…250$60$15.4K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…140$90$12.2K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…90$90$7.8K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$130$2.9K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$100$1.9K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992336817070$90$9.4K
    992322722080$60$7.9K
    9923964030$90$5.3K
    992238820020$130$4.9K
    992226115020$100$2.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kingman Healthcare, IncAZGeneral Acute Care Hospital$0$86.1M
    Kingman Healthcare, IncAZSpecialist$0$9.8M
    Northwest Hbp Medical Services LLCAZEmergency Medicine Physician$0$8M
    Hani RashidAZRheumatology Physician$1.9M$0
    Niraj PahlajaniTXRadiation Oncology Physician$1.4M$0
    Ryan JonesAZPhlebology Physician$1.1M$0
    Kathleen NaegeleILHematology & Oncology Physician$805.1K$57.9K
    Gordon GradoAZRadiation Oncology Physician$826.6K$0
    Roscoe ChanAZRadiation Oncology Physician$738.6K$0
    Darren WhittemoreTXAnatomic Pathology & Clinical Pathology Physician$714.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Griselle Fortuna Morales, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Metro Mayaguez IncPRGeneral Acute Care Hospital$0$4.9M
    Migrant Health Center Western Region,incPRClinical Medical Laboratory$5.2K$4.8M
    Alameda Prosthodontic Services, PscPRProsthodontics$0$3.9M
    Oscar MunizPROral and Maxillofacial Pathology Dentistry$0$3.5M
    Juan GarciaPROral and Maxillofacial Surgery (Dentist)$0$2.9M
    Migrant Health Center Western Region,incPRFederally Qualified Health Center (FQHC)$0$2.4M
    Centro Neumologico Del OestePRPulmonary Disease Physician$0$2.2M
    Lynette Baez TorresPROphthalmology Physician$0$1.9M
    Laboratorio Clinico Irizarry Guasch IncPRClinical Medical Laboratory$0$1.6M
    Jesus Romero PerezPRDiagnostic Radiology Physician$8.1K$1.4M

    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. Puerto Rico Distribution
    Griselle Fortuna Morales — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico