Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Riverside › NPI 1154329373
Physician

Santoso, Paulus

Santoso, Paulus was paid $585K by Medicaid between Apr 2018 and Mar 2023, across 18 billing codes. Its largest line is 59425, — 47% of everything it billed.

33Billing provider infoSANTOSO, PAULUS
RIVERSIDE, CA 92506
33aNPI1154329373assigned 07/12/2005
28Total paid$585K
24GClaims12,639
24DCodes billed18
24AFirst – last monthApr 2018 – Mar 2023
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in California

Rank by total paid#169 of 791
Median peer was paid$67K
This provider vs. median8.8×

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$10K$20K$30K2018201920202021202220232024
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
20181,379$67K
20193,552$166K
20202,566$125K
20212,308$107K
20222,192$93K
2023642$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
59425 47% 4,561 3,121 $273K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 3,090 2,839 $95K
88141 14% 1,688 976 $84K
59430 8.5% 688 662 $50K
3351F 5.6% 437 435 $33K
0500F 3.8% 250 250 $22K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1.2% 677 673 $7K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.0% 49 49 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 68 68 $5K
J3490 Unclassified drugs <1% 66 65 $4K
81025 <1% 870 838 $2K
90715 <1% 13 13 $1K
6 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 53 $961.23
96127 <1% 66 $314.16
96151 <1% 17 $124.95
99401 <1% 16 $124.95
97803 <1% 16 $124.95
H1003 Prenatal care, at-risk enhanced service; education <1% 14 $116.62

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.