Santos, Engilberta

Santos, Engilberta was paid $21K by Medicaid between Jan 2019 and Oct 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 97% of everything it billed.

33Billing provider infoSANTOS, ENGILBERTA
WOODSIDE, NY 11377

33aNPI1629178710assigned 09/25/2006

33bProvider typeInternal Medicine Physician

28Total paid$21K

24GClaims918

24DCodes billed2

24AFirst – last monthJan 2019 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#2,465 of 6,049

Median peer was paid$11K

This provider vs. median1.8×

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	94	$2K
2020	233	$4K
2021	195	$4K
2022	171	$4K
2023	137	$4K
2024incomplete	88	$2K

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	97%	802	558	$20K
99490	Ccm add 20min	2.8%	116	116	$579.31

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.