Santiago, Manuel

Santiago, Manuel was paid $288K by Medicaid between Jan 2018 and Oct 2021, across 9 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 56% of everything it billed.

33Billing provider infoSANTIAGO, MANUEL
ELMWOOD PARK, IL 60707

33aNPI1154309821assigned 01/04/2006

33bProvider typeOphthalmology Physician

28Total paid$288K

24GClaims8,767

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2021

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#77 of 431

Median peer was paid$34K

This provider vs. median8.4×

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	2,498	$68K
2019	3,078	$95K
2020	1,538	$56K
2021	1,653	$69K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99244	Office or other outpatient consultation, moderate to high complexity	56%	1,166	1,021	$162K
92015	Determination of refractive state	14%	2,246	2,072	$39K
92250		12%	1,745	1,625	$35K
92060		7.3%	794	717	$21K
92499		3.8%	83	77	$11K
92020		3.5%	1,439	1,344	$10K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	2.2%	999	978	$6K
92083		<1%	244	226	$3K
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	<1%	51	50	$651.93

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.