Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Santos Montes, Noel

Santos Montes, Noel was paid $52K by Medicaid between Jan 2018 and Aug 2024, across 31 billing codes. Its largest line is 99245, — 19% of everything it billed.

33Billing provider infoSANTOS MONTES, NOEL
CAMUY, PR 00627
33aNPI1912937467assigned 07/03/2006
28Total paid$52K
24GClaims3,238
24DCodes billed31
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Personal Emergency Response Attendant providers in Puerto Rico

Rank by total paid#10 of 28
Median peer was paid$3K
This provider vs. median17×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
20182,059$15K
2019236$4K
2020102$1K
2021111$4K
2022100$4K
2023363$10K
2024incomplete267$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99245 19% 197 196 $10K
99238 Hospital discharge day management, 30 minutes or less 17% 177 165 $9K
99231 Subsequent hospital care, per day, straightforward or low complexity 17% 86 72 $9K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 13% 768 696 $7K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 6.2% 29 24 $3K
99221 5.4% 42 40 $3K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.3% 33 31 $2K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.1% 32 25 $2K
99223 Prolong inpt eval add15 m 3.9% 48 41 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3.3% 130 122 $2K
99222 Initial hospital care, per day, moderate complexity 2.6% 14 13 $1K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.1% 13 13 $1K
19 more codes
99283 Emergency room visit (moderate) 1.3% 15 $697.50
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.1% 27 $579.42
3079F <1% 51 $48.00
3048F <1% 21 $20.02
3017F 0% 77 $0.00
99213 Doctor's office visit, returning patient (routine) 0% 184 $0.00
3008F 0% 127 $0.00
4010F 0% 96 $0.00
0513F 0% 108 $0.00
1170F 0% 166 $0.00
3066F 0% 101 $0.00
3061F 0% 63 $0.00
1126F 0% 77 $0.00
3074F 0% 62 $0.00
3075F 0% 12 $0.00
1160F 0% 166 $0.00
1159F 0% 168 $0.00
3078F 0% 62 $0.00
4035F 0% 86 $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.