Physician
Carlos R Santos MD PA
Carlos R Santos MD PA was paid $370K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoCARLOS R SANTOS MD PA
N MIAMI BEACH, FL 33162
N MIAMI BEACH, FL 33162
33aNPI1578737185assigned 04/15/2008
33bProvider typePulmonary Disease Physician
28Total paid$370K
24GClaims24,621
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Florida
Rank by total paid#16 of 142
Median peer was paid$11K
This provider vs. median33×
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 | 1,580 | $5K | |
| 2019 | 5,198 | $54K | |
| 2020 | 3,630 | $43K | |
| 2021 | 3,847 | $70K | |
| 2022 | 4,189 | $81K | |
| 2023 | 3,898 | $78K | |
| 2024incomplete | 2,279 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 48% | 7,375 | 5,393 | $178K |
| 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 | 20% | 948 | 847 | $73K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 2,386 | 718 | $40K |
| 94060 | 9.6% | 688 | 580 | $36K | |
| 99337 | 3.0% | 1,985 | 1,138 | $11K | |
| 99350 | Prolong home eval add 15m | 1.7% | 1,109 | 679 | $6K |
| 94729 | 1.2% | 691 | 583 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 2,455 | 1,720 | $4K |
| 94727 | <1% | 693 | 585 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 45 | 36 | $3K |
| 99336 | <1% | 765 | 482 | $3K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 2,006 | 1,480 | $2K |
12 more codes
| 94664 | <1% | 1,410 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 136 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 159 | $693.83 |
| 99490 | Ccm add 20min | <1% | 1,081 | $675.48 |
| 99457 | <1% | 96 | $386.68 | |
| 99423 | <1% | 15 | $104.19 | |
| 99305 | 0% | 24 | $0.00 | |
| 94761 | 0% | 198 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 51 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 145 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 23 | $0.00 |
| 90686 | 0% | 137 | $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 officialSANTOS, CARLOS (OWNER)