Physician
Santiago, Pedro
Santiago, Pedro was paid $77K by Medicaid between Jan 2018 and Sep 2023, across 22 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 79% of everything it billed.
33Billing provider infoSANTIAGO, PEDRO
HUMACAO, PR 00791
HUMACAO, PR 00791
33aNPI1780965467assigned 09/07/2011
33bProvider typeInternal Medicine Physician
28Total paid$77K
24GClaims5,076
24DCodes billed22
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#138 of 518
Median peer was paid$5K
This provider vs. median15×
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 | 805 | $23K | |
| 2019 | 3,899 | $30K | |
| 2020 | 263 | $15K | |
| 2021 | 24 | $2K | |
| 2022 | 38 | $4K | |
| 2023 | 47 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 79% | 1,956 | 567 | $60K |
| 99222 | Initial hospital care, per day, moderate complexity | 10% | 336 | 311 | $8K |
| 99238 | Hospital discharge day management, 30 minutes or less | 7.7% | 371 | 337 | $6K |
| 99243 | 2.1% | 34 | 33 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 230 | 196 | $809.78 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 33 | 32 | $129.16 |
| 3008F | 0% | 263 | 223 | $0.00 | |
| 1036F | 0% | 28 | 28 | $0.00 | |
| 2001F | 0% | 264 | 222 | $0.00 | |
| 1170F | 0% | 54 | 53 | $0.00 | |
| 2000F | 0% | 243 | 205 | $0.00 | |
| 2010F | 0% | 252 | 215 | $0.00 |
10 more codes
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.