Santana-Lopez, Carmelo

Santana-Lopez, Carmelo was paid $92K by Medicaid between Jun 2018 and Dec 2024, across 3 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 76% of everything it billed.

33Billing provider infoSANTANA-LOPEZ, CARMELO
HATO REY, PR 00919

33aNPI1215130687assigned 06/06/2007

33bProvider typeInfectious Disease Physician

28Total paid$92K

24GClaims858

24DCodes billed3

24AFirst – last monthJun 2018 – Dec 2024

Compared with peers

Next to other Infectious Disease Physician providers in Puerto Rico

Rank by total paid#32 of 57

Median peer was paid$106K

This provider vs. median0.9×

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	86	$4K
2019	138	$7K
2020	28	$4K
2021	288	$28K
2022	120	$17K
2023	76	$12K
2024incomplete	122	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	76%	461	366	$69K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	13%	173	73	$12K
99255		11%	224	213	$11K

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.