Physician
Garcia Santiago, Ernesto
Garcia Santiago, Ernesto was paid $490K by Medicaid between Apr 2018 and Oct 2024, across 12 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 44% of everything it billed.
33Billing provider infoGARCIA SANTIAGO, ERNESTO
CAGUAS, PR 00925
CAGUAS, PR 00925
33aNPI1609820414assigned 05/19/2006
33bProvider typeInternal Medicine Physician
28Total paid$490K
24GClaims9,879
24DCodes billed12
24AFirst – last monthApr 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#32 of 518
Median peer was paid$5K
This provider vs. median98×
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 | 13 | $0.00 | |
| 2019 | 111 | $934.30 | |
| 2020 | 510 | $11K | |
| 2021 | 2,773 | $129K | |
| 2022 | 2,806 | $117K | |
| 2023 | 1,918 | $95K | |
| 2024incomplete | 1,748 | $137K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 44% | 2,914 | 481 | $216K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 21% | 2,245 | 548 | $101K |
| 99223 | Prolong inpt eval add15 m | 8.8% | 372 | 348 | $43K |
| 93000 | 6.9% | 1,609 | 1,532 | $34K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 6.4% | 687 | 645 | $31K |
| 99241 | 6.3% | 1,028 | 937 | $31K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 251 | 251 | $20K |
| 99242 | 2.2% | 348 | 334 | $11K | |
| 99243 | <1% | 260 | 225 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | 12 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 140 | 116 | $259.30 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 13 | 12 | $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.