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

Santa-Rosario, Juan

Santa-Rosario, Juan was paid $398K by Medicaid between Jan 2018 and Oct 2019, across 32 billing codes. Its largest line is 87624, Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types — 24% of everything it billed.

33Billing provider infoSANTA-ROSARIO, JUAN
CAROLINA, PR 00983
33aNPI1467636852assigned 12/21/2007
28Total paid$398K
24GClaims14,425
24DCodes billed32
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Puerto Rico

Rank by total paid#6 of 7
Median peer was paid$1.48M
This provider vs. median0.3×

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$10K$20K$30K2018201920202021202220232024
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
20189,493$219K
20194,932$179K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 24% 2,262 1,824 $95K
88305 Level IV - Surgical pathology, gross and microscopic examination 23% 1,591 1,286 $93K
88142 22% 3,517 2,897 $89K
87490 11% 1,718 1,405 $44K
87590 11% 1,696 1,381 $43K
88312 3.9% 515 470 $15K
88108 2.8% 527 460 $11K
88141 <1% 407 335 $4K
88342 <1% 45 26 $2K
88304 <1% 101 88 $2K
88311 <1% 59 50 $255.90
86645 0% 52 13 $0.00
20 more codes
86644 0% 66 $0.00
80061 Lipid panel 0% 379 $0.00
86705 0% 60 $0.00
86709 0% 60 $0.00
86708 0% 30 $0.00
80053 Comprehensive metabolic panel 0% 393 $0.00
86592 0% 113 $0.00
87536 0% 113 $0.00
87070 0% 54 $0.00
86778 0% 63 $0.00
87081 0% 14 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 108 $0.00
86777 0% 70 $0.00
86803 0% 73 $0.00
87340 0% 70 $0.00
87181 0% 15 $0.00
86704 0% 30 $0.00
87529 0% 37 $0.00
86706 0% 80 $0.00
86361 0% 107 $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.