Physician
Mercado Santiago, Jose
Mercado Santiago, Jose was paid $8K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 96160, — 57% of everything it billed.
33Billing provider infoMERCADO SANTIAGO, JOSE
ISABELA, PR 00662
ISABELA, PR 00662
33aNPI1306010699assigned 04/17/2008
33bProvider typeGeneral Practice Physician
28Total paid$8K
24GClaims9,893
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#438 of 1,195
Median peer was paid$2K
This provider vs. median3.8×
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 | |
|---|---|---|---|
| 2018 | 1,773 | $25.36 | |
| 2019 | 1,311 | $72.00 | |
| 2020 | 1,489 | $3K | |
| 2021 | 1,126 | $135.00 | |
| 2022 | 1,303 | $45.00 | |
| 2023 | 1,468 | $0.00 | |
| 2024incomplete | 1,423 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96160 | 57% | 117 | 83 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 37% | 141 | 117 | $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 | 5.0% | 6,843 | 5,732 | $385.36 |
| 99441 | <1% | 612 | 558 | $20.00 | |
| 1170F | 0% | 12 | 12 | $0.00 | |
| 3075F | 0% | 13 | 13 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,952 | 1,753 | $0.00 |
| 99347 | 0% | 108 | 102 | $0.00 | |
| 1159F | 0% | 28 | 28 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 39 | 39 | $0.00 |
| 1160F | 0% | 28 | 28 | $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.