Physician
Grana Santini, Alberto
Grana Santini, Alberto was paid $206K by Medicaid between Sep 2022 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoGRANA SANTINI, ALBERTO
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1366829731assigned 05/05/2015
33bProvider typeGeneral Practice Physician
28Total paid$206K
24GClaims1,828
24DCodes billed10
24AFirst – last monthSep 2022 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#112 of 1,195
Median peer was paid$2K
This provider vs. median101×
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 | |
|---|---|---|---|
| 2022 | 165 | $16K | |
| 2023 | 601 | $71K | |
| 2024incomplete | 1,062 | $118K |
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 | 46% | 869 | 621 | $95K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 37% | 465 | 269 | $76K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 235 | 156 | $18K |
| 99223 | Prolong inpt eval add15 m | 4.4% | 59 | 58 | $9K |
| 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 | 2.3% | 36 | 36 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 14 | 14 | $1K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 28 | 26 | $1K |
| 95251 | <1% | 15 | 13 | $518.34 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 91 | 28 | $206.00 |
| G0245 | Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education | 0% | 16 | 14 | $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.