Physician
Hand to Shoulder Orthopedics
Hand to Shoulder Orthopedics was paid $6K by Medicaid between Aug 2023 and Oct 2024, across 2 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 68% of everything it billed.
33Billing provider infoHAND TO SHOULDER ORTHOPEDICS
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1275094807assigned 03/27/2019
33bProvider typeOrthopaedic Hand Surgery Physician
28Total paid$6K
24GClaims43
24DCodes billed2
24AFirst – last monthAug 2023 – Oct 2024
Compared with peers
Next to other Orthopaedic Hand Surgery Physician providers in Puerto Rico
Rank by total paid#4 of 5
Median peer was paid$36K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 18 | $2K | |
| 2024incomplete | 25 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 68% | 25 | 15 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 32% | 18 | 14 | $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 officialSANTAELLA SANTE, BORJA (MEMBER/PRESIDENT)