Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Santaella Sante, Borja

Santaella Sante, Borja was paid $36K by Medicaid between Nov 2022 and Oct 2024, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 48% of everything it billed.

33Billing provider infoSANTAELLA SANTE, BORJA
CAGUAS, PR 00725
33aNPI1396000477assigned 07/05/2012
28Total paid$36K
24GClaims374
24DCodes billed3
24AFirst – last monthNov 2022 – Oct 2024
Compared with peers

Next to other Orthopaedic Hand Surgery Physician providers in Puerto Rico

Rank by total paid#3 of 5
Median peer was paid$36K
This provider vs. median1.0×

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$10K$15K2018201920202021202220232024
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
202238$2K
202377$8K
2024incomplete259$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 48% 146 73 $18K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29% 115 112 $11K
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 23% 113 31 $8K

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.