Physician
Santos, Patrick
Santos, Patrick was paid $549K by Medicaid between May 2019 and Sep 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoSANTOS, PATRICK
UPPER TUMON, GU 96913
UPPER TUMON, GU 96913
33aNPI1609937762assigned 12/13/2006
33bProvider typeFamily Medicine Physician
28Total paid$549K
24GClaims12,334
24DCodes billed15
24AFirst – last monthMay 2019 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Guam
Rank by total paid#4 of 7
Median peer was paid$549K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2019 | 1,108 | $49K | |
| 2020 | 2,634 | $117K | |
| 2021 | 2,329 | $99K | |
| 2022 | 2,329 | $110K | |
| 2023 | 2,302 | $103K | |
| 2024incomplete | 1,632 | $71K |
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 | 44% | 2,949 | 2,776 | $244K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 17% | 2,568 | 2,543 | $93K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 471 | 466 | $56K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 9.5% | 3,278 | 3,229 | $52K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.3% | 298 | 292 | $35K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.2% | 1,069 | 1,059 | $28K |
| 86580 | 2.4% | 1,332 | 1,299 | $13K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 78 | 78 | $9K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 52 | 52 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 40 | 38 | $5K |
| 99381 | <1% | 34 | 34 | $4K | |
| 99383 | <1% | 24 | 24 | $3K |
3 more codes
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.