Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Santory -Ortiz, Julio

Santory -Ortiz, Julio was paid $260K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99283, emergency room visit (moderate) — 57% of everything it billed.

33Billing provider infoSANTORY -ORTIZ, JULIO
LAS PIEDRAS, PR 00771
33aNPI1013979723assigned 04/06/2006
28Total paid$260K
24GClaims6,789
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#90 of 1,195
Median peer was paid$2K
This provider vs. median127×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,175$37K
20191,078$37K
2020539$21K
20211,036$35K
2022992$37K
20231,082$46K
2024incomplete887$48K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 57% 4,008 3,595 $148K
99218 34% 1,752 1,611 $89K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 5.7% 212 202 $15K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.0% 597 567 $5K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 178 163 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 16 15 $0.00
1160F 0% 13 12 $0.00
1159F 0% 13 12 $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.