Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Santiago, Alberto

Santiago, Alberto was paid $42K by Medicaid between Jan 2018 and Apr 2024, across 6 billing codes. Its largest line is 92015, Determination of refractive state — 62% of everything it billed.

33Billing provider infoSANTIAGO, ALBERTO
HATILLO, PR 00659
33aNPI1245228147assigned 10/13/2005
33bProvider typeOptometrist
28Total paid$42K
24GClaims2,640
24DCodes billed6
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers

Next to other Optometrist providers in Puerto Rico

Rank by total paid#147 of 299
Median peer was paid$40K
This provider vs. median1.1×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
2018910$11K
2019528$8K
2020114$2K
2021486$8K
2022290$5K
2023242$6K
2024incomplete70$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 62% 967 914 $26K
92002 38% 816 784 $16K
V2020 Frames, purchases 0% 434 416 $0.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 0% 253 235 $0.00
V2744 Tint, photochromatic, per lens 0% 156 156 $0.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 0% 14 14 $0.00

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.