Santos, Roman

Santos, Roman was paid $90K by Medicaid between Jan 2018 and Aug 2021, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoSANTOS, ROMAN
LAKEVILLE, MA 02347

33aNPI1356450985assigned 08/29/2006

33bProvider typeFamily Medicine Physician

28Total paid$90K

24GClaims1,925

24DCodes billed5

24AFirst – last monthJan 2018 – Aug 2021

Compared with peers

Next to other Family Medicine Physician providers in Massachusetts

Rank by total paid#156 of 744

Median peer was paid$10K

This provider vs. median8.6×

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	736	$34K
2019	491	$24K
2020	429	$20K
2021	269	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	70%	1,012	862	$63K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	610	517	$24K
80305		2.1%	263	203	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	12	12	$535.71
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	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.