Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Carisma LLC

Carisma LLC was paid $748K by Medicaid between Apr 2022 and Oct 2024, across 7 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 74% of everything it billed.

33Billing provider infoCARISMA LLC
SAN JUAN, PR 00909
33aNPI1194267955assigned 11/10/2016
28Total paid$748K
24GClaims8,215
24DCodes billed7
24AFirst – last monthApr 2022 – Oct 2024
Compared with peers

Next to other Personal Emergency Response Attendant providers in Puerto Rico

Rank by total paid#2 of 28
Median peer was paid$3K
This provider vs. median245×

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$25K$50K$75K2018201920202021202220232024
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
20221,926$90K
20234,363$431K
2024incomplete1,926$227K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 74% 6,158 1,381 $553K
99223 Prolong inpt eval add15 m 17% 903 711 $130K
99238 Hospital discharge day management, 30 minutes or less 7.4% 1,028 824 $55K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 57 21 $4K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life <1% 34 33 $3K
99222 Initial hospital care, per day, moderate complexity <1% 22 21 $2K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity <1% 13 13 $2K

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.

From NPPES

Who's on the registration

Authorized officialSANTIAGO, UBALDO (PRESIDENT)
Same official

Other billing entities under SANTIAGO, UBALDO

Full network →
ProviderLocationPaid
Santiago Buono Medical Group & Hospitalist Services,pscSan Juan, PR$859K
Allure LLCSan Juan, PR$232K
Santiago Buono Er Services LLCSan Juan, PR$7K
Sagesse LLCSan Juan, PR$5K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.