Physician
Santiago Medical Group, INC.
Santiago Medical Group, INC. was paid $4.39M by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoSANTIAGO MEDICAL GROUP, INC.
NORTH PROVIDENCE, RI 02904
NORTH PROVIDENCE, RI 02904
33aNPI1790830339assigned 01/24/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$4.39M
24GClaims90,000
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Rhode Island
Rank by total paid#1 of 18
Median peer was paid$85K
This provider vs. median51×
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 | 14,794 | $633K | |
| 2019 | 18,839 | $776K | |
| 2020 | 12,190 | $494K | |
| 2021 | 14,819 | $625K | |
| 2022 | 11,680 | $651K | |
| 2023 | 10,181 | $695K | |
| 2024incomplete | 7,497 | $510K |
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 | 41% | 26,420 | 24,080 | $1.82M |
| 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 | 13% | 6,075 | 5,553 | $590K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.5% | 4,839 | 4,808 | $373K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.1% | 3,673 | 3,647 | $310K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.9% | 13,022 | 12,780 | $259K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 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 | 2.7% | 2,375 | 2,318 | $120K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 2,801 | 2,737 | $113K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 1,822 | 1,783 | $110K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.4% | 6,022 | 5,923 | $107K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.9% | 5,264 | 5,148 | $85K |
| 99050 | 1.5% | 1,461 | 1,349 | $65K |
19 more codes
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.2% | 1,448 | $54K |
| 99188 | <1% | 2,207 | $29K | |
| 99051 | <1% | 802 | $25K | |
| 99174 | <1% | 546 | $18K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 181 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,277 | $16K |
| 96127 | <1% | 4,143 | $12K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 519 | $11K |
| 0001A | <1% | 165 | $7K | |
| 0002A | <1% | 139 | $6K | |
| 0012A | <1% | 107 | $4K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 102 | $3K |
| 94760 | <1% | 1,025 | $3K | |
| 90474 | <1% | 198 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $2K |
| 94010 | <1% | 56 | $2K | |
| 0011A | <1% | 31 | $969.56 | |
| 90473 | <1% | 33 | $656.70 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 31 | $427.76 |
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.
From NPPES
Who's on the registration
Authorized officialFUENTES, MIGUEL (PRESIDENT)