IVELISSE SAMBOLIN JESSURUN, M.D.
Physical Medicine & Rehabilitation Physician · RIO PIEDRAS, PR
Individual Active NPI 1023202819
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 73 | 240 | $24,084 | $23,600 | $17,889 |
| 2023 | 74 | 279 | $27,266 | $26,842 | $20,769 |
| 2022 | 108 | 386 | $36,630 | $36,281 | $27,615 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 97 | $76 | $59 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 37 | $123 | $90 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 30 | $126 | $100 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 23 | $89 | $71 |
| 99238 | Hospital discharge day management, 30 minutes or less | 18 | $78 | $62 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ✓ | 18136 | PR |
| General Practice Physician | 208D00000X | 18136 | PR |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Physical Medicine & Rehabilitation Physician providers in Puerto Rico →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.