Physician
Paulus Santoso MD a Professional Corporation
Paulus Santoso MD a Professional Corporation was paid $2.73M by Medicaid between Jan 2018 and Nov 2024, across 43 billing codes. Its largest line is 59425, — 29% of everything it billed.
33Billing provider infoPAULUS SANTOSO MD A PROFESSIONAL CORPORATION
RIVERSIDE, CA 92506
RIVERSIDE, CA 92506
33aNPI1093042970assigned 11/12/2009
33bProvider typeObstetrics Physician
28Total paid$2.73M
24GClaims70,059
24DCodes billed43
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Obstetrics Physician providers in California
Rank by total paid#7 of 52
Median peer was paid$64K
This provider vs. median43×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12,546 | $561K | |
| 2019 | 9,507 | $296K | |
| 2020 | 10,381 | $358K | |
| 2021 | 10,512 | $334K | |
| 2022 | 8,098 | $253K | |
| 2023 | 10,041 | $457K | |
| 2024incomplete | 8,974 | $470K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59425 | 29% | 15,573 | 11,013 | $797K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 15,595 | 14,491 | $582K |
| Z1034 | 10% | 4,905 | 3,101 | $273K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 7.6% | 422 | 421 | $207K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.4% | 2,140 | 2,129 | $148K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.5% | 1,042 | 1,015 | $122K |
| 76813 | 2.7% | 799 | 770 | $74K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.4% | 1,050 | 1,049 | $65K |
| Z1032 | 2.3% | 429 | 429 | $63K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 2,116 | 2,076 | $49K |
| 59514 | 1.7% | 104 | 104 | $45K | |
| 59430 | 1.4% | 719 | 677 | $39K |
31 more codes
| J3490 | Unclassified drugs | 1.3% | 465 | $35K |
| Z6500 | 1.1% | 237 | $29K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.0% | 3,128 | $28K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 3,491 | $23K |
| 81025 | <1% | 7,370 | $23K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 183 | $18K |
| Z6410 | <1% | 1,890 | $16K | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 115 | $13K |
| Z6204 | <1% | 1,460 | $12K | |
| Z6406 | <1% | 1,112 | $9K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 153 | $8K |
| 97803 | <1% | 1,382 | $8K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 88 | $7K |
| 99401 | <1% | 1,083 | $6K | |
| Z6400 | <1% | 594 | $5K | |
| Z6304 | <1% | 662 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 242 | $4K |
| 96127 | <1% | 724 | $3K | |
| 96151 | <1% | 385 | $3K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 45 | $3K |
| 57454 | <1% | 39 | $2K | |
| 58100 | <1% | 36 | $1K | |
| 0500F | <1% | 30 | $1K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 12 | $803.64 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 114 | $791.49 |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 26 | $548.08 |
| Z6414 | <1% | 27 | $207.43 | |
| 99402 | <1% | 18 | $158.27 | |
| 3351F | <1% | 12 | $100.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 13 | $99.96 |
| 96156 | 0% | 29 | $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.
From NPPES
Who's on the registration
Authorized officialSANTOSO, PAULUS (CEO)