Southeastern Healthcare Holdings LLC
Southeastern Healthcare Holdings LLC was paid $930K by Medicaid between Jan 2018 and Jun 2024, across 43 billing codes. Its largest line is S9097, Home visit for wound care — 33% of everything it billed.
33Billing provider infoSOUTHEASTERN HEALTHCARE HOLDINGS LLC
GUAYAMA, PR 00785
GUAYAMA, PR 00785
33aNPI1467854877assigned 09/17/2014
33bProvider typeSpecialist
28Total paid$930K
24GClaims33,732
24DCodes billed43
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#24 of 316
Median peer was paid$26K
This provider vs. median36×
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 | 6,431 | $114K | |
| 2019 | 5,690 | $113K | |
| 2020 | 4,052 | $106K | |
| 2021 | 5,821 | $183K | |
| 2022 | 4,859 | $144K | |
| 2023 | 5,329 | $213K | |
| 2024incomplete | 1,550 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9097 | Home visit for wound care | 33% | 4,725 | 869 | $310K |
| 99345 | Prolong home eval add 15m | 21% | 3,087 | 548 | $195K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 9.7% | 2,616 | 798 | $90K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 7.7% | 3,256 | 3,151 | $72K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 5.7% | 4,232 | 3,291 | $53K |
| 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 | 4.8% | 723 | 606 | $44K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 868 | 654 | $25K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.3% | 3,013 | 1,978 | $22K |
| 90649 | 1.9% | 548 | 433 | $17K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.8% | 2,177 | 1,484 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 1,847 | 1,784 | $13K |
| 0002A | 1.3% | 364 | 359 | $12K |
31 more codes
| 0001A | 1.2% | 454 | $12K | |
| 90620 | 1.2% | 326 | $11K | |
| 0003A | 1.0% | 239 | $9K | |
| 90734 | <1% | 355 | $9K | |
| 92002 | <1% | 222 | $6K | |
| 90686 | <1% | 1,866 | $6K | |
| T1030 | Nursing care, in the home, by registered nurse, per diem | <1% | 41 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 54 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 78 | $2K |
| 99442 | <1% | 22 | $748.89 | |
| 90473 | <1% | 58 | $649.14 | |
| 90633 | <1% | 38 | $464.01 | |
| 92015 | Determination of refractive state | <1% | 288 | $391.49 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 21 | $268.50 |
| 90688 | <1% | 189 | $258.00 | |
| 90715 | <1% | 168 | $218.07 | |
| 99205 | Prolong outpt/office vis | <1% | 12 | $190.50 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $188.00 |
| 90670 | <1% | 95 | $132.00 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 237 | $60.00 |
| 90700 | <1% | 27 | $6.00 | |
| 99201 | <1% | 28 | $0.23 | |
| 91300 | 0% | 1,087 | $0.00 | |
| 96152 | 0% | 159 | $0.00 | |
| 90707 | 0% | 15 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 13 | $0.00 |
| 96150 | 0% | 45 | $0.00 | |
| 99443 | 0% | 15 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| 96127 | 0% | 55 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 19 | $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.
From NPPES
Who's on the registration
Authorized officialSANTIAGO, JOSE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| J.A.Santiago, MS, RPT, P.A. | Tampa, FL | $103K |
| JSS Nephrology, PSC | San Juan, PR | $36K |
| Centro Ceski C S P | Penuelas, PR | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.