Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SANTIAGO MEDICAL GROUP, INC.

NPI: 1790830339 · NORTH PROVIDENCE, RI 02904 · Pediatric Adolescent Medicine Physician · NPI assigned 01/24/2007

$4.39M
Total Medicaid Paid
90,000
Total Claims
85,889
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFUENTES, MIGUEL (PRESIDENT)
NPI Enumeration Date01/24/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,794 $633K
2019 18,839 $776K
2020 12,190 $494K
2021 14,819 $625K
2022 11,680 $651K
2023 10,181 $695K
2024 7,497 $510K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,420 24,080 $1.82M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,075 5,553 $590K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,839 4,808 $373K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,673 3,647 $310K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13,022 12,780 $259K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,204 3,132 $225K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,375 2,318 $120K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,801 2,737 $113K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,822 1,783 $110K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,022 5,923 $107K
90472 Immunization administration, each additional vaccine (list separately) 5,264 5,148 $85K
99050 1,461 1,349 $65K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,448 1,429 $54K
99188 2,207 2,144 $29K
99051 802 787 $25K
99174 546 530 $18K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 181 181 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,277 1,257 $16K
96127 4,143 4,076 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 519 478 $11K
0001A 165 165 $7K
0002A 139 139 $6K
0012A 107 106 $4K
97535 Self-care/home management training, each 15 minutes 102 101 $3K
94760 1,025 889 $3K
90474 198 194 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $2K
94010 56 52 $2K
0011A 31 31 $969.56
90473 33 33 $656.70
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 31 27 $427.76