Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Guaynabo › NPI 1386959633
Physician

Malpica-Santiago, Juan

Malpica-Santiago, Juan was paid $148K by Medicaid between Apr 2019 and Oct 2024, across 10 billing codes. Its largest line is 94375, — 33% of everything it billed.

33Billing provider infoMALPICA-SANTIAGO, JUAN
GUAYNABO, PR 00968
33aNPI1386959633assigned 08/11/2010
28Total paid$148K
24GClaims4,551
24DCodes billed10
24AFirst – last monthApr 2019 – Oct 2024
Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#99 of 518
Median peer was paid$5K
This provider vs. median30×

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
201955$2K
2020238$8K
2021634$17K
20221,384$47K
20231,101$36K
2024incomplete1,139$40K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
94375 33% 837 782 $49K
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 26% 488 442 $39K
94727 11% 281 270 $17K
94200 8.8% 797 744 $13K
94729 8.4% 282 272 $12K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.4% 119 66 $8K
94760 3.3% 1,146 1,043 $5K
94150 2.1% 557 534 $3K
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 1.1% 14 14 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 30 30 $356.44

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.