Physician
Santiago, Rafael
Santiago, Rafael was paid $246K by Medicaid between Jan 2018 and Jun 2020, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.
33Billing provider infoSANTIAGO, RAFAEL
SPRINGFIELD, MO 65806
SPRINGFIELD, MO 65806
33aNPI1174517825assigned 09/08/2005
33bProvider typeFamily Medicine Physician
28Total paid$246K
24GClaims2,228
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Family Medicine Physician providers in Missouri
Rank by total paid#96 of 911
Median peer was paid$16K
This provider vs. median16×
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 | 948 | $115K | |
| 2019 | 880 | $94K | |
| 2020 | 400 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 82% | 1,438 | 1,414 | $202K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.8% | 251 | 247 | $24K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.0% | 239 | 234 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.8% | 149 | 98 | $7K |
| 87275 | <1% | 62 | 62 | $2K | |
| 87276 | <1% | 62 | 62 | $2K | |
| 87807 | <1% | 15 | 15 | $607.50 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | 12 | $270.00 |
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.