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NPI 1114204161 · San Juan, PR · Infectious Disease Physician
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Monica Cespedes Santana is a infectious disease physician provider located in San Juan, Puerto Rico. This profile covers 5 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Monica Cespedes Santana |
| Address | 29 Calle Washington Ste 505 |
| City | San Juan |
| State | PR |
| ZIP | 00907 |
| Taxonomy | Infectious Disease Physician |
| NPI Enumerated | November 4, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $162.2K |
| Medicare | $7.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 20 | $100 | $2.3K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 30 | $60 | $1.9K |
| G0425 | Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth | 20 | $70 | $1.6K |
| G0426 | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | 10 | $100 | $1.2K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 20 | $40 | $790 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 640 | $70 | $43.1K |
| 99254 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends… | 370 | $80 | $31K |
| 99443 | N/A | 360 | $70 | $25.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 360 | $50 | $17.8K |
| 99253 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 180 | $60 | $10.1K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 800 | $10 | $7.2K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 760 | $10 | $5.3K |
| 99310 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends… | 620 | $10 | $5K |
| 99305 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 510 | $10 | $4.6K |
| 99442 | N/A | 70 | $50 | $3.7K |
Showing 1–10 of 15
How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Puerto Rico median
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 340 | 900 | 360 | $30 | $42.5K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,561 | 3,230 | 330 | $10 | $42.4K |
| 99252 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the provider… | 31 | 50 | 160 | $30 | $18.7K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 695 | 840 | 340 | $1 | $16.7K |
| 99254 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends… | 22 | 100 | 110 | $40 | $10.7K |
| 99443 | N/A | 67 | 210 | 110 | $10 | $9.8K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 1 | 10 | 320 | $30 | $9.6K |
| 99442 | N/A | 287 | 450 | 130 | $10 | $9K |
| 99253 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 44 | 120 | 90 | $30 | $8.9K |
| 99310 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends… | 1 | 10 | 140 | $20 | $5K |
Showing 1–10 of 15
Other providers in the same ZIP code as Monica Cespedes Santana, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Precision Hearing Center Inc | PR | Audiologist | $0 | $7.3M |
| Laboratorio Clinico Dr. Gualberto Rabell | PR | Clinical Medical Laboratory | $0 | $1.5M |
| Sandra Hurtado Ponce De Leon | PR | Driver | $0 | $1.3M |
| Ubaldo Santiago Buono | PR | Geriatric Medicine (Internal Medicine) Physician | $11.5K | $1.2M |
| Hope Health Psc | PR | Corporate Health Clinic/Center | $0 | $920.7K |
| Francisco Ojeda | PR | General Practice Physician | $0 | $818.2K |
| Raul Montilla | PR | Dentist | $0 | $681.7K |
| Antonio Orraca-gotay | PR | Cardiovascular Disease Physician | $42.3K | $196.7K |
| Carlos Jimenez | PR | Nuclear Medicine Physician | $236.5K | $0 |
| Nanette De Leon | PR | Ophthalmology Physician | $45.9K | $135.7K |
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