Physician
Merle, Santa
Merle, Santa was paid $1.97M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is Q0084, Chemotherapy administration by infusion technique only, per visit — 29% of everything it billed.
33Billing provider infoMERLE, SANTA
GUAYNABO, PR 00968
GUAYNABO, PR 00968
33aNPI1831300805assigned 05/24/2007
33bProvider typeHematology & Oncology Physician
28Total paid$1.97M
24GClaims30,578
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Hematology & Oncology Physician providers in Puerto Rico
Rank by total paid#6 of 59
Median peer was paid$110K
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
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 | 7,014 | $368K | |
| 2019 | 5,118 | $226K | |
| 2020 | 3,710 | $294K | |
| 2021 | 3,332 | $224K | |
| 2022 | 3,812 | $253K | |
| 2023 | 3,522 | $253K | |
| 2024incomplete | 4,070 | $349K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q0084 | Chemotherapy administration by infusion technique only, per visit | 29% | 7,146 | 3,604 | $579K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 21% | 5,669 | 2,839 | $414K |
| 96415 | 19% | 4,370 | 2,211 | $377K | |
| 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% | 4,077 | 3,485 | $227K |
| 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 | 10% | 3,972 | 3,158 | $205K |
| 96417 | 1.9% | 878 | 450 | $38K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 376 | 320 | $28K |
| 96521 | 1.1% | 886 | 516 | $22K | |
| 96416 | <1% | 347 | 199 | $16K | |
| 96523 | <1% | 890 | 589 | $14K | |
| 96401 | <1% | 297 | 134 | $11K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,010 | 555 | $11K |
5 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.