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

Santos, Edward

Santos, Edward was paid $2.65M by Medicaid between Jan 2018 and Dec 2024, across 112 billing codes. Its largest line is 80053, Comprehensive metabolic panel — 14% of everything it billed.

33Billing provider infoSANTOS, EDWARD
GALESBURG, IL 61401
33aNPI1407807589assigned 05/13/2006
28Total paid$2.65M
24GClaims581,630
24DCodes billed112
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Illinois

Rank by total paid#25 of 398
Median peer was paid$66K
This provider vs. median40×

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$25K$50K$75K2018201920202021202220232024
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
201832,717$155K
201982,899$364K
202085,849$381K
202193,803$445K
202293,179$434K
2023107,128$488K
2024incomplete86,055$387K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
80053 Comprehensive metabolic panel 14% 73,129 50,709 $378K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9.9% 90,619 53,742 $262K
82805 5.9% 7,452 2,187 $156K
84443 Thyroid stimulating hormone (TSH) 5.8% 18,714 17,276 $153K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4.8% 5,812 4,979 $127K
83735 4.4% 33,053 16,031 $116K
80048 Basic metabolic panel (calcium, ionized) 4.1% 25,878 11,888 $109K
87086 Culture, bacterial; quantitative colony count, urine 3.0% 15,716 13,971 $81K
87040 2.4% 5,404 3,837 $63K
80061 Lipid panel 2.1% 15,291 13,883 $56K
82962 1.9% 23,993 6,606 $52K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.9% 1,515 1,445 $51K
100 more codes
84484 1.9% 10,984 $51K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.8% 3,249 $48K
83605 1.8% 8,435 $47K
83690 1.7% 13,635 $46K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.7% 1,630 $45K
83880 1.5% 4,032 $41K
83036 Hemoglobin; glycosylated (A1C) 1.4% 11,928 $38K
87186 1.2% 5,656 $33K
82607 1.1% 4,967 $30K
85610 1.1% 14,437 $29K
87480 1.1% 2,401 $28K
86850 1.0% 8,022 $28K
87510 1.0% 2,333 $27K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,261 $25K
81001 <1% 18,058 $25K
84100 <1% 10,301 $24K
87081 <1% 8,124 $23K
85027 <1% 7,905 $23K
84439 <1% 4,925 $22K
86901 <1% 9,123 $21K
84702 <1% 4,400 $20K
85730 <1% 5,156 $20K
84466 <1% 4,407 $19K
87660 <1% 2,550 $19K
82728 <1% 4,502 $18K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 875 $17K
80202 <1% 2,430 $17K
86900 <1% 9,133 $16K
82746 <1% 2,529 $14K
81025 <1% 6,321 $14K
83540 <1% 4,312 $14K
87088 <1% 2,310 $13K
85379 <1% 3,164 $12K
82550 <1% 3,808 $12K
81003 <1% 9,472 $10K
84146 <1% 1,434 $10K
86140 <1% 3,957 $9K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 1,047 $9K
87070 <1% 2,763 $9K
87493 <1% 403 $8K
80076 <1% 2,206 $8K
88304 <1% 340 $8K
82570 <1% 3,360 $8K
87077 <1% 2,079 $8K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 220 $7K
85652 <1% 4,163 $6K
82043 <1% 2,715 $5K
87075 <1% 787 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 97 $5K
83615 <1% 1,646 $5K
82565 <1% 1,924 $4K
87205 <1% 2,043 $4K
83970 <1% 248 $4K
87807 <1% 704 $4K
85014 <1% 2,851 $3K
85018 <1% 2,867 $3K
82330 <1% 347 $3K
84478 <1% 1,226 $3K
82248 <1% 1,220 $3K
87641 <1% 95 $2K
83001 <1% 231 $2K
84550 <1% 828 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 202 $2K
82950 <1% 556 $1K
82140 <1% 280 $1K
88342 <1% 75 $1K
82533 <1% 146 $1K
80069 <1% 238 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 43 $860.00
84481 <1% 152 $824.11
87449 <1% 53 $801.92
80164 <1% 162 $731.17
84403 <1% 57 $720.48
82150 <1% 204 $701.80
82378 <1% 99 $657.58
86880 <1% 180 $566.60
86920 <1% 65 $552.25
82077 <1% 53 $530.36
85045 <1% 374 $477.49
84132 <1% 457 $464.52
87015 <1% 87 $421.20
82247 <1% 156 $408.19
85384 <1% 109 $364.24
82009 <1% 242 $322.30
84144 <1% 36 $300.43
87899 <1% 19 $281.58
82803 <1% 12 $148.58
87045 <1% 17 $104.55
84156 <1% 66 $80.10
83002 <1% 13 $72.28
83930 <1% 30 $72.23
87184 <1% 14 $72.00
85347 <1% 27 $61.57
84480 <1% 12 $57.36
86308 <1% 15 $33.60
89050 <1% 17 $31.50
87147 <1% 15 $28.80
85049 <1% 18 $24.84
87046 <1% 17 $20.40
86923 0% 160 $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.