Matos-Santiago, William

Matos-Santiago, William was paid $436K by Medicaid between Jan 2018 and Apr 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoMATOS-SANTIAGO, WILLIAM
SAN JUAN, PR 00918

33aNPI1477536498assigned 11/23/2005

33bProvider typeRheumatology Physician

28Total paid$436K

24GClaims6,940

24DCodes billed4

24AFirst – last monthJan 2018 – Apr 2024

Compared with peers

Next to other Rheumatology Physician providers in Puerto Rico

Rank by total paid#3 of 31

Median peer was paid$9K

This provider vs. median46×

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	1,177	$20K
2019	1,003	$26K
2020	1,091	$68K
2021	812	$66K
2022	1,310	$111K
2023	1,224	$116K
2024incomplete	323	$30K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	2,294	2,124	$137K
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	30%	1,866	1,756	$130K
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	28%	2,334	2,190	$121K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	11%	446	433	$47K

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.