Augustine, Santhosh

Augustine, Santhosh was paid $152K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoAUGUSTINE, SANTHOSH
LUMBERTON, NC 28358

33aNPI1689663700assigned 10/20/2005

33bProvider typeGastroenterology Physician

28Total paid$152K

24GClaims4,483

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in North Carolina

Rank by total paid#21 of 64

Median peer was paid$44K

This provider vs. median3.5×

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	1,462	$33K
2019	942	$33K
2020	485	$24K
2021	334	$17K
2022	205	$6K
2023	441	$7K
2024incomplete	614	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	72%	2,600	2,108	$110K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	13%	264	199	$20K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.5%	535	431	$13K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	2.9%	72	68	$4K
99244	Office or other outpatient consultation, moderate to high complexity	2.1%	28	28	$3K
36000		<1%	61	56	$1K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	20	12	$463.98
36415	Collection of venous blood by venipuncture	<1%	158	143	$215.95
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	417	380	$0.01
G9744	Patient not eligible due to active diagnosis of hypertension	0%	34	32	$0.00
1111F		0%	260	239	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	34	33	$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.