Physician
Santoro, Fred
Santoro, Fred was paid $303K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoSANTORO, FRED
EAST LYME, CT 06333
EAST LYME, CT 06333
33aNPI1639269970assigned 10/16/2006
33bProvider typePediatrics Physician
28Total paid$303K
24GClaims10,492
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#83 of 162
Median peer was paid$313K
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 | |
|---|---|---|---|
| 2018 | 1,880 | $55K | |
| 2019 | 1,907 | $56K | |
| 2020 | 1,459 | $34K | |
| 2021 | 1,371 | $36K | |
| 2022 | 1,444 | $45K | |
| 2023 | 1,229 | $41K | |
| 2024incomplete | 1,202 | $36K |
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 | 39% | 1,745 | 1,579 | $118K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 29% | 2,362 | 2,284 | $87K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 299 | 290 | $30K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 190 | 190 | $21K |
| 92552 | 5.4% | 1,385 | 1,344 | $16K | |
| 99173 | 3.0% | 1,428 | 1,388 | $9K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 72 | 66 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 70 | 67 | $6K |
| 36416 | <1% | 828 | 813 | $3K | |
| 96127 | <1% | 172 | 154 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 37 | 37 | $1K |
| 96161 | <1% | 13 | 12 | $234.00 |
7 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $216.00 |
| 90686 | <1% | 1,242 | $207.09 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $160.30 |
| 90656 | <1% | 115 | $67.05 | |
| 94760 | <1% | 24 | $33.20 | |
| 85018 | <1% | 472 | $22.60 | |
| 90670 | 0% | 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.