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

Santos, Luis

Santos, Luis was paid $98K by Medicaid between Jan 2018 and Dec 2019, across 4 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 43% of everything it billed.

33Billing provider infoSANTOS, LUIS
EL PASO, TX 79902
33aNPI1275532863assigned 07/18/2005
28Total paid$98K
24GClaims1,135
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Texas

Rank by total paid#11 of 13
Median peer was paid$260K
This provider vs. median0.4×

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$5.0K$10K2018201920202021202220232024
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
2018543$42K
2019592$56K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99244 Office or other outpatient consultation, moderate to high complexity 43% 250 250 $42K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38% 705 659 $37K
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 12% 129 128 $12K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 7.2% 51 51 $7K

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.