Physician
Paul, Santa
Paul, Santa was paid $762K by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoPAUL, SANTA
JAMAICA, NY 11432
JAMAICA, NY 11432
33aNPI1114119740assigned 08/17/2007
33bProvider typePediatrics Physician
28Total paid$762K
24GClaims38,333
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#327 of 1,983
Median peer was paid$17K
This provider vs. median45×
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 | 3,655 | $87K | |
| 2019 | 5,903 | $113K | |
| 2020 | 8,029 | $143K | |
| 2021 | 6,425 | $137K | |
| 2022 | 5,922 | $119K | |
| 2023 | 4,136 | $87K | |
| 2024incomplete | 4,263 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 6,210 | 5,665 | $327K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 2,896 | 2,555 | $90K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 8.2% | 1,788 | 1,785 | $62K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.6% | 3,595 | 3,179 | $50K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.9% | 722 | 719 | $45K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 672 | 670 | $37K |
| S9470 | Nutritional counseling, dietitian visit | 3.2% | 1,464 | 1,461 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.4% | 345 | 345 | $19K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2.2% | 766 | 766 | $17K |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | 2.0% | 1,100 | 1,098 | $15K |
| 92551 | 1.9% | 2,084 | 2,082 | $14K | |
| H0049 | Alcohol and/or drug screening | 1.8% | 538 | 538 | $14K |
31 more codes
| 99401 | 1.7% | 554 | $13K | |
| 99406 | 1.3% | 904 | $10K | |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.3% | 1,007 | $10K |
| 99442 | <1% | 140 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,638 | $3K |
| 99000 | <1% | 799 | $2K | |
| 99408 | <1% | 173 | $2K | |
| H0001 | Alcohol and/or drug assessment | <1% | 61 | $944.43 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 174 | $887.53 |
| 99173 | <1% | 679 | $813.73 | |
| 90686 | <1% | 2,073 | $660.67 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 31 | $390.00 |
| 99441 | <1% | 33 | $367.13 | |
| 96127 | <1% | 768 | $178.95 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 794 | $31.20 |
| 3725F | 0% | 933 | $0.00 | |
| 90461 | 0% | 267 | $0.00 | |
| 3016F | 0% | 32 | $0.00 | |
| 90734 | 0% | 65 | $0.00 | |
| G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | 0% | 27 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 143 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 59 | $0.00 |
| 90707 | 0% | 24 | $0.00 | |
| 90670 | 0% | 15 | $0.00 | |
| 90685 | 0% | 14 | $0.00 | |
| 3008F | 0% | 2,277 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 947 | $0.00 |
| 1036F | 0% | 948 | $0.00 | |
| 90651 | 0% | 72 | $0.00 | |
| 1000F | 0% | 453 | $0.00 | |
| 90716 | 0% | 49 | $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.