Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Caguas › NPI 1497873327
Physician

Ernesto Garcia Santiago MD CSP

Ernesto Garcia Santiago MD CSP was paid $71K by Medicaid between Jan 2018 and Jan 2020, across 7 billing codes. Its largest line is 99241, — 49% of everything it billed.

33Billing provider infoERNESTO GARCIA SANTIAGO MD CSP
CAGUAS, PR 00725
33aNPI1497873327assigned 03/27/2007
28Total paid$71K
24GClaims2,616
24DCodes billed7
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#142 of 518
Median peer was paid$5K
This provider vs. median14×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,946$51K
2019590$16K
202080$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99241 49% 800 668 $35K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 14% 409 90 $10K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 13% 366 95 $9K
93000 13% 727 649 $9K
99238 Hospital discharge day management, 30 minutes or less 4.7% 164 151 $3K
99221 3.9% 113 109 $3K
99223 Prolong inpt eval add15 m 2.7% 37 37 $2K

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 officialGARCIA, ERNESTO (PRESIDENTE)
Same official

Other billing entities under GARCIA, ERNESTO

Full network →
ProviderLocationPaid
Wound-Well LLCMiami, FL$95.83
Amado Health Care, LLCHarlingen, TX$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.