Physician
Santiago Caban, Luis
Santiago Caban, Luis was paid $432K by Medicaid between Jan 2018 and Jan 2022, across 16 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.
33Billing provider infoSANTIAGO CABAN, LUIS
GUAYAMA, PR 00784
GUAYAMA, PR 00784
33aNPI1700018835assigned 08/24/2009
33bProvider typeOphthalmology Physician
28Total paid$432K
24GClaims11,594
24DCodes billed16
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#40 of 141
Median peer was paid$163K
This provider vs. median2.7×
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 | 4,081 | $129K | |
| 2019 | 3,873 | $143K | |
| 2020 | 2,920 | $125K | |
| 2021 | 685 | $34K | |
| 2022 | 35 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 40% | 2,116 | 1,685 | $175K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 28% | 2,475 | 1,969 | $119K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 908 | 786 | $78K |
| 92015 | Determination of refractive state | 4.6% | 631 | 541 | $20K |
| 92250 | 3.0% | 1,773 | 1,449 | $13K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 2.6% | 27 | 27 | $11K |
| 92225 | 1.2% | 630 | 279 | $5K | |
| 92134 | <1% | 751 | 549 | $3K | |
| 92083 | <1% | 102 | 98 | $3K | |
| 92025 | <1% | 189 | 159 | $2K | |
| 92133 | <1% | 142 | 125 | $1K | |
| 76514 | <1% | 220 | 184 | $840.79 |
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.