Physician
Santiago, Madeline
Santiago, Madeline was paid $67K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 26% of everything it billed.
33Billing provider infoSANTIAGO, MADELINE
SAN JUAN, PR 00936
SAN JUAN, PR 00936
33aNPI1952509952assigned 07/11/2007
33bProvider typePediatrics Physician
28Total paid$67K
24GClaims11,256
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Puerto Rico
Rank by total paid#48 of 194
Median peer was paid$7K
This provider vs. median10.0×
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 | 822 | $2K | |
| 2019 | 1,947 | $7K | |
| 2020 | 691 | $261.00 | |
| 2021 | 1,423 | $2K | |
| 2022 | 2,056 | $3K | |
| 2023 | 2,670 | $20K | |
| 2024incomplete | 1,647 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 26% | 173 | 87 | $17K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 2,090 | 1,471 | $12K |
| 99223 | Prolong inpt eval add15 m | 17% | 93 | 91 | $11K |
| 99238 | Hospital discharge day management, 30 minutes or less | 16% | 1,632 | 1,605 | $11K |
| 99222 | Initial hospital care, per day, moderate complexity | 11% | 1,541 | 1,517 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 5,374 | 4,606 | $4K |
| 96160 | 6.1% | 128 | 120 | $4K | |
| 99442 | <1% | 163 | 133 | $133.49 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 50 | 50 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 12 | 12 | $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.