Santaella, Ricardo

Santaella, Ricardo was paid $229K by Medicaid between Jan 2018 and May 2024, across 7 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 60% of everything it billed.

33Billing provider infoSANTAELLA, RICARDO
MAYAGUEZ, PR 00680

33aNPI1659541381assigned 03/10/2008

33bProvider typeOphthalmology Physician

28Total paid$229K

24GClaims4,531

24DCodes billed7

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#59 of 141

Median peer was paid$163K

This provider vs. median1.4×

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	886	$42K
2019	857	$43K
2020	532	$30K
2021	858	$45K
2022	694	$34K
2023	578	$31K
2024incomplete	126	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	60%	1,937	1,674	$138K
92015	Determination of refractive state	33%	2,092	1,900	$76K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	6.0%	121	115	$14K
92136		<1%	144	140	$745.47
92225		<1%	114	109	$278.24
92201		<1%	81	80	$251.86
92226		0%	42	26	$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.