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

Santiago-Castro, Sherry

Santiago-Castro, Sherry was paid $1.45M by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 99205, Prolong outpt/office vis — 25% of everything it billed.

33Billing provider infoSANTIAGO-CASTRO, SHERRY
SAN JUAN, PR 00919
33aNPI1922386150assigned 07/21/2011
33bProvider typePediatrics Physician
28Total paid$1.45M
24GClaims12,661
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#4 of 194
Median peer was paid$7K
This provider vs. median215×

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$20K$40K$60K2018201920202021202220232024
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
2018936$69K
20191,983$121K
20201,426$99K
20211,479$139K
20222,704$325K
20232,558$438K
2024incomplete1,575$259K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99205 Prolong outpt/office vis 25% 2,392 2,220 $360K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 24% 2,995 2,655 $352K
95819 19% 1,612 1,447 $273K
95957 12% 1,386 1,217 $180K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.2% 1,568 1,416 $105K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.1% 1,399 1,273 $102K
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 2.8% 375 357 $40K
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 1.4% 288 274 $21K
99383 <1% 215 202 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 204 180 $4K
99382 <1% 84 81 $2K
99243 <1% 65 48 $2K
2 more codes
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 55 $1K
95822 <1% 23 $1K

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.