Velez Santiago, Axel

Velez Santiago, Axel was paid $162K by Medicaid between Jan 2018 and Feb 2024, across 14 billing codes. Its largest line is 94375, — 42% of everything it billed.

33Billing provider infoVELEZ SANTIAGO, AXEL
SAN GERMAN, PR 00683

33aNPI1740276047assigned 09/22/2005

33bProvider typePulmonary Disease Physician

28Total paid$162K

24GClaims6,005

24DCodes billed14

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Puerto Rico

Rank by total paid#17 of 55

Median peer was paid$68K

This provider vs. median2.4×

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	1,964	$41K
2019	12	$358.56
2020	467	$15K
2022	906	$26K
2023	2,431	$69K
2024incomplete	225	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
94375		42%	1,303	1,079	$67K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	504	451	$30K
94729		10%	449	359	$16K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	8.8%	502	381	$14K
94727		8.0%	444	355	$13K
94200		7.2%	804	676	$12K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.1%	61	46	$2K
94664		1.1%	726	605	$2K
94668		<1%	493	413	$2K
99205	Prolong outpt/office vis	<1%	104	69	$1K
99442		<1%	85	79	$1K
94760		<1%	260	195	$1K

2 more codes

94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	111	$544.75
94667		<1%	159	$201.22

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.