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    OpenPayerNPI Medicare & MedicaidMaria Fernandez Fontan
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    Maria Fernandez Fontan — Billing Profile & Reimbursement Data

    NPI 1407191679 · Bayamon, PR · Physical Therapist

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    Maria Fernandez Fontan is a physical therapist provider located in Bayamon, Puerto Rico. This profile covers 8 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
    OrganizationMaria Fernandez Fontan
    AddressCarimed Plaza B1 Suite 406
    CityBayamon
    StatePR
    ZIP00961
    TaxonomyPhysical Therapist
    NPI EnumeratedNovember 29, 2012

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

    Payer SourceTotal Paid
    Medicare$68.4K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…1,130$20$23.6K
    97162The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…140$80$10.8K
    97035Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.1,080$10$9.7K
    97032Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and…1,060$10$9.5K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…480$20$8.1K
    97124Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…210$20$4.5K
    97164The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…30$60$1.8K
    97018In this procedure, the provider applies the paraffin wax on the joints or dips the limb in the paraffin wax solution.100$1$290

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97110170200$20$5.2K
    971241940200$20$5K
    97140210210$20$3.9K
    97032160230$10$2.4K
    9716213020$80$2.3K
    97035140210$10$2.1K
    9716472020$50$1.4K
    97018110100$1$310

    Nearby Providers

    Other providers in the same ZIP code as Maria Fernandez Fontan, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nazareno Enterprises And Services LLCPRProsthetic/Orthotic Supplier$0$23.8M
    Cdt Gmsp, IncPRFederally Qualified Health Center (FQHC)$0$4.6M
    Centro Medico Del Turabo, Inc.PRHome Infusion Therapy Pharmacy$0$3.9M
    Djm Imaging Center LLCPRRadiology Clinic/Center$0$3.6M
    Cdt Centro De Servicios Medicos Integrados Inc.PRClinical Medical Laboratory$0$2.3M
    Cdt G.m,s.p., Inc RadiologiaPRFederally Qualified Health Center (FQHC)$0$1.7M
    Pro-health Clinical Services LLCPREndocrinology, Diabetes & Metabolism Physician$0$1.6M
    Edilberto MartinezPRMaternal & Fetal Medicine Physician$0$1.4M
    Laboratorio TeresitaPRClinical Medical Laboratory$4.8K$1.3M
    Dr Joaquin Balaguer Group PscPRPodiatrist$0$1.2M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Puerto Rico Distribution
    Maria Fernandez Fontan — 4 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico