Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Rhode Island (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Karina Santos (NPI 1255006326)

Field	Value
Entity Type	Individual
Organization	Karina Santos
Address	1085 N Main St
City	Providence
State	RI
ZIP	02904
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	August 11, 2021

Payer Source	Total Paid
Medicare	$23.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	70	$120	$7.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	70	$80	$5.6K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	90	$50	$4.4K
99498	The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient…	40	$50	$1.9K
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	$90	$1.4K
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…	40	$30	$1.2K
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…	20	$50	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Karina Santos — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	198	470	60	$90	$9.1K
99232	587	650	70	$60	$7.7K
99223	113	540	30	$130	$6.4K
99497	32	100	50	$60	$4K
99222	299	420	20	$100	$3.7K
99231	123	210	40	$40	$2.5K
99498	5	20	20	$50	$1.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Karina Santos, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hopehealth Hospice & Palliative Care	RI	Community Based Hospice Care Agency	$0	$33.3M
Hopehealth Hospice & Palliative Care	MA	Community Based Hospice Care Agency	$0	$8.6M
Jennifer Giatas	RI	Nurse Practitioner	$46.3K	$22.4K
Julie Colantuoni	MA	Nurse Practitioner	$49.9K	$0
Audra Noonan	MA	Psychiatric/Mental Health Nurse Practitioner	$40.5K	$0
Gregory Rachu	WI	Hospice and Palliative Medicine (Family Medicine) Physician	$40.5K	$0
Carolee Nevulis	RI	Family Nurse Practitioner	$39.4K	$0
Sarah Swenson	CT	Nurse Practitioner	$34K	$0
Bethany Sheahan	RI	Acute Care Nurse Practitioner	$27.9K	$0
Hannah Barth	RI	Adult Health Nurse Practitioner	$27.4K	$0

Karina Santos — Billing Profile & Reimbursement Data

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Karina Santos — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References