Santora, Donald

Santora, Donald was paid $6K by Medicaid between Jun 2021 and Jul 2024, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 54% of everything it billed.

33Billing provider infoSANTORA, DONALD
MEADVILLE, PA 16335

33aNPI1295758878assigned 07/25/2006

33bProvider typeOphthalmology Physician

28Total paid$6K

24GClaims113

24DCodes billed3

24AFirst – last monthJun 2021 – Jul 2024

Compared with peers

Next to other Ophthalmology Physician providers in Pennsylvania

Rank by total paid#153 of 288

Median peer was paid$7K

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
2021	13	$462.00
2023	13	$1K
2024incomplete	87	$5K

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	54%	38	37	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	32%	59	55	$2K
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	14%	16	15	$858.65

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.