Santiago, Jose

Santiago, Jose was paid $517K by Medicaid between Jan 2018 and Dec 2022, across 7 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 36% of everything it billed.

33Billing provider infoSANTIAGO, JOSE
PONCE, PR 00716

33aNPI1851373369assigned 11/18/2005

33bProvider typePediatric Gastroenterology Physician

28Total paid$517K

24GClaims6,124

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2022

Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Puerto Rico

Rank by total paid#1 of 15

Median peer was paid$91K

This provider vs. median5.7×

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	1,526	$113K
2019	1,550	$110K
2020	1,187	$104K
2021	1,075	$112K
2022	786	$78K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	36%	485	445	$184K
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	27%	2,646	2,364	$139K
99205	Prolong outpt/office vis	20%	817	759	$106K
99245		14%	1,705	1,485	$72K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.5%	372	366	$13K
99443		<1%	75	56	$2K
99243		<1%	24	24	$780.00

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.