Physician
Santiago, Julio
Santiago, Julio was paid $392K by Medicaid between Jan 2018 and Sep 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoSANTIAGO, JULIO
GALESBURG, IL 61401
GALESBURG, IL 61401
33aNPI1144216185assigned 09/26/2005
33bProvider typeFamily Medicine Physician
28Total paid$392K
24GClaims18,730
24DCodes billed32
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#268 of 2,947
Median peer was paid$43K
This provider vs. median9.2×
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 | 230 | $11K | |
| 2019 | 349 | $17K | |
| 2020 | 1,537 | $73K | |
| 2021 | 981 | $50K | |
| 2022 | 5,786 | $81K | |
| 2023 | 8,137 | $95K | |
| 2024incomplete | 1,710 | $65K |
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 | 54% | 4,592 | 3,224 | $210K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 41% | 2,289 | 1,897 | $162K |
| 87428 | 2.1% | 150 | 126 | $8K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 180 | 117 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 94 | 62 | $990.88 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 63 | 40 | $653.06 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 32 | 29 | $423.90 |
| 90686 | <1% | 21 | 12 | $373.14 | |
| 87807 | <1% | 41 | 40 | $342.04 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | 13 | $273.33 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 15 | 14 | $206.83 |
| 99490 | Ccm add 20min | <1% | 12 | 12 | $193.03 |
20 more codes
| 99307 | <1% | 12 | $103.60 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 12 | $18.91 |
| 36415 | Collection of venous blood by venipuncture | <1% | 420 | $15.75 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 16 | $0.13 |
| 1160F | 0% | 1,310 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,204 | $0.00 |
| 3078F | 0% | 843 | $0.00 | |
| 1159F | 0% | 1,210 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 17 | $0.00 |
| 3008F | 0% | 1,457 | $0.00 | |
| 3074F | 0% | 1,166 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,191 | $0.00 |
| 1034F | 0% | 358 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 14 | $0.00 |
| 1036F | 0% | 540 | $0.00 | |
| 3079F | 0% | 448 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 712 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 140 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 125 | $0.00 |
| 3075F | 0% | 33 | $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.