Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Santana, Rita

Santana, Rita was paid $309K by Medicaid between Feb 2018 and Oct 2024, across 51 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 20% of everything it billed.

33Billing provider infoSANTANA, RITA
NEW YORK, NY 10033
33aNPI1821061011assigned 02/09/2006
33bProvider typePediatrics Physician
28Total paid$309K
24GClaims47,259
24DCodes billed51
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#511 of 1,983
Median peer was paid$17K
This provider vs. median18×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20186,233$70K
20197,736$72K
20208,011$53K
20217,203$47K
20226,321$29K
20236,760$26K
2024incomplete4,995$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90460 Immunization administration through 18 years of age via any route, first or only component 20% 3,516 3,472 $63K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 20% 3,964 3,945 $63K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 2,867 2,678 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7.4% 3,954 3,707 $23K
90472 Immunization administration, each additional vaccine (list separately) 5.0% 669 666 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.9% 1,065 1,065 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4.9% 1,105 1,097 $15K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.1% 1,176 1,174 $13K
G0444 Annual depression screening, 5 to 15 minutes 4.0% 1,157 1,156 $13K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.6% 798 793 $11K
99173 3.0% 2,973 2,969 $9K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2.2% 442 423 $7K
39 more codes
92551 1.9% 3,461 $6K
97802 1.4% 1,805 $4K
90686 1.0% 2,435 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 102 $3K
0072A <1% 42 $1K
0001A <1% 33 $1K
99441 <1% 182 $1K
0071A <1% 34 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 103 $1K
0002A <1% 14 $593.12
H0001 Alcohol and/or drug assessment <1% 1,579 $516.19
86580 <1% 53 $433.08
99442 <1% 607 $275.65
99406 <1% 38 $160.00
3016F <1% 1,326 $25.00
90633 <1% 52 $10.04
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 12 $5.52
3008F <1% 3,071 $0.06
83655 <1% 115 $0.05
87081 <1% 145 $0.05
91300 <1% 88 $0.02
3725F 0% 1,322 $0.00
1033F 0% 455 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 1,369 $0.00
90670 0% 39 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 0% 75 $0.00
90734 0% 40 $0.00
90685 0% 54 $0.00
90707 0% 13 $0.00
91307 0% 78 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 1,222 $0.00
90620 0% 54 $0.00
1000F 0% 1,329 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 0% 73 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 1,190 $0.00
1036F 0% 862 $0.00
90716 0% 40 $0.00
91301 0% 12 $0.00
90651 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.