Horta-Santini, Juan

Horta-Santini, Juan was paid $268K by Medicaid between Jan 2018 and May 2023, across 14 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 43% of everything it billed.

33Billing provider infoHORTA-SANTINI, JUAN
CORONA, NY 11368

33aNPI1427243328assigned 09/13/2007

33bProvider typeOphthalmology Physician

28Total paid$268K

24GClaims4,200

24DCodes billed14

24AFirst – last monthJan 2018 – May 2023

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#254 of 1,085

Median peer was paid$34K

This provider vs. median7.9×

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	463	$2K
2019	231	$9K
2020	1,112	$51K
2021	920	$78K
2022	912	$85K
2023	562	$43K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	43%	1,666	1,589	$116K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	29%	720	716	$77K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	14%	339	339	$37K
92083		4.1%	206	206	$11K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.7%	152	151	$7K
92015	Determination of refractive state	2.5%	523	517	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.7%	68	67	$5K
99072		1.0%	176	165	$3K
92133		<1%	62	62	$2K
92020		<1%	151	149	$1K
92136		<1%	13	13	$691.99
92202		<1%	53	53	$671.38

2 more codes

76514		<1%	59	$541.34
92201		<1%	12	$296.50

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.