Physician
Santos, Tiffanie
Santos, Tiffanie was paid $111K by Medicaid between Jan 2020 and Aug 2022, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoSANTOS, TIFFANIE
NEWBURGH, NY 12550
NEWBURGH, NY 12550
33aNPI1790137743assigned 07/01/2016
33bProvider typePediatrics Physician
28Total paid$111K
24GClaims1,550
24DCodes billed13
24AFirst – last monthJan 2020 – Aug 2022
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#679 of 1,983
Median peer was paid$17K
This provider vs. median6.6×
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 | |
|---|---|---|---|
| 2020 | 424 | $24K | |
| 2021 | 1,040 | $80K | |
| 2022 | 86 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 53% | 642 | 552 | $59K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 166 | 157 | $19K |
| 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 | 11% | 93 | 88 | $13K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.5% | 373 | 366 | $8K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 7.2% | 67 | 65 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 36 | 36 | $4K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 13 | 13 | $456.17 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | 13 | $62.10 |
| 90686 | <1% | 12 | 12 | $17.26 | |
| 92551 | <1% | 13 | 13 | $16.36 | |
| 90698 | 0% | 44 | 44 | $0.00 | |
| 90680 | 0% | 29 | 29 | $0.00 |
1 more codes
| 90670 | 0% | 49 | $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.