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

Santiago Rolon, Amarilys

Santiago Rolon, Amarilys was paid $1.56M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 27% of everything it billed.

33Billing provider infoSANTIAGO ROLON, AMARILYS
SALINAS, PR 00751
33aNPI1548415177assigned 11/24/2008
28Total paid$1.56M
24GClaims15,468
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#8 of 518
Median peer was paid$5K
This provider vs. median312×

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$25K$50K$75K2018201920202021202220232024
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
20182,601$213K
20192,553$227K
20202,935$243K
20213,669$414K
2022543$73K
20232,709$336K
2024incomplete458$49K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 27% 1,694 1,427 $415K
45380 Colonoscopy, flexible; with biopsy, single or multiple 24% 1,451 1,228 $368K
99070 18% 3,432 2,419 $284K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 4,206 3,845 $168K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.1% 1,675 1,550 $110K
45384 6.8% 564 339 $106K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2.5% 95 81 $38K
99243 1.4% 698 670 $22K
99152 1.4% 871 507 $21K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 1.1% 365 323 $18K
99153 Mod sedat endo service >5yrs <1% 292 215 $2K
99442 <1% 43 40 $2K
1 more codes
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 82 $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.