Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Santiago-Escalera, Teresita

Santiago-Escalera, Teresita was paid $1.01M by Medicaid between Jan 2018 and Sep 2023, across 32 billing codes. Its largest line is 76830, Ultrasound, transvaginal — 19% of everything it billed.

33Billing provider infoSANTIAGO-ESCALERA, TERESITA
WESTBURY, NY 11590
33aNPI1245542570assigned 07/01/2010
28Total paid$1.01M
24GClaims34,939
24DCodes billed32
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New York

Rank by total paid#83 of 762
Median peer was paid$22K
This provider vs. median47×

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
20189,150$240K
20197,895$203K
20205,745$177K
20216,517$199K
20222,138$65K
20233,494$129K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76830 Ultrasound, transvaginal 19% 1,948 1,934 $189K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 18% 2,006 1,990 $182K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 2,421 2,270 $137K
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 6.2% 760 741 $63K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5.0% 2,118 2,115 $50K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 4.7% 1,973 1,965 $48K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4.6% 2,117 2,114 $47K
81513 4.3% 419 416 $43K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3.8% 491 491 $39K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2.7% 945 943 $27K
99401 2.0% 977 950 $20K
81025 1.8% 3,679 3,567 $18K
20 more codes
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.7% 206 $17K
99385 1.6% 176 $16K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1.5% 182 $15K
87481 1.3% 710 $14K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1.2% 273 $12K
87563 1.2% 446 $12K
87480 1.0% 714 $11K
87510 1.0% 713 $11K
81002 <1% 4,773 $8K
81007 <1% 4,826 $7K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 70 $6K
76376 <1% 533 $6K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 57 $4K
99203 Doctor's office visit, new patient (routine) <1% 66 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 64 $3K
99215 Doctor's office visit, returning patient (complex) <1% 17 $2K
87081 <1% 438 $2K
76801 <1% 16 $2K
36415 Collection of venous blood by venipuncture <1% 780 $177.20
99000 0% 25 $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.