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 Guam for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Guam 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. Guam (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.

Elizabeth Santos (NPI 1346712783)

Field	Value
Entity Type	Individual
Organization	Elizabeth Santos
Address	655 Harmon Loop Rd Ste 300
City	Dededo
State	GU
ZIP	96929
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	December 26, 2018

Payer Source	Total Paid
Medicare	$44K
Medicaid	$0

Key Findings

This provider’s Medicare activity is narrowly concentrated in ambulatory evaluation-and-management visits: code 99214 accounts for 453 claims and $36.2K in revenue (82.4% of this provider's total Medicare revenue), while 99213 contributes 82 claims and $5.1K (11.6%). Together these visit codes dominate the clinical footprint and indicate a practice focused on established-patient office-based management rather than procedure-driven services.

Top-coded services drive essentially all reported Medicare income: the precomputed top three Medicare codes account for 99.0% of this provider's total Medicare revenue, and total Medicare revenue is $44K. This level of concentration means business and scheduling decisions will disproportionately affect overall revenue if visit volume or coding mix changes.

Payer mix is effectively single-payer: Medicaid billing is absent (none below — this provider has no Medicaid billing on file), so reported revenue derives only from Medicare. Analysts should treat this profile as single-payer-exposed when modeling reimbursement risk or access to dual-coverage populations.

Despite the small absolute Medicare revenue, the provider’s national standing on the leading visit code is relatively high by rank: 99214 ranks #57306 of 479517 providers nationally (88th percentile) but is described in the source as "typical, unremarkable volume for this code." This combination implies the provider bills a standard mix of moderate-complexity established-patient visits at a volume that is above many peers, while still falling within the dataset’s definition of typical practice patterns for 99214.

The presence of cardiac device management in the code mix suggests an additional service line beyond routine primary care: 93288 appears with 57 claims and $2.2K revenue (5.1% of Medicare revenue) and is ranked #672 of 2542 providers nationally (73th percentile), labeled as "typical, unremarkable volume for this code." This indicates the provider performs a modest but material amount of pacemaker/ICD follow-up or programming relative to the specialty population that generates those codes.

All secondary, lower-revenue codes are small contributors: for example, 99406 (tobacco-cessation counseling) is 33 claims and $429 (1.0% of Medicare revenue) and is ranked #1737 of 5699 providers nationally (68th percentile), again characterized as "typical, unremarkable volume for this code." These smaller codes demonstrate some preventive counseling activity but do not materially affect overall revenue.

Tenure in the Medicare dataset is moderate: the NPI was enumerated 2018-12-26 (~8 years ago), indicating several years to establish a patient panel and coding patterns. Given the concentrated code mix, this tenure suggests the current service mix is stable rather than the product of a short or transient enrollment period.

Although 99214 dominates revenue, the absolute scale of billing is limited: total Medicare revenue is $44K, with $36.2K coming from 99214. This combination—high concentration in a single E/M code but modest total dollars—marks the provider as a small-volume Medicare biller whose financial profile is highly sensitive to changes in office visit volume or E/M coding practice.

Medicare: Complete Services Breakdown

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

4 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…	450	$80	$36.2K
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…	80	$60	$5.1K
93288	In this service, the provider performs a face–to–face evaluation and then optimally adjusts the parameters of an already implanted single, dual, multiple lead, or leadless pacemaker system after…	60	$40	$2.2K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	30	$10	$430

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Elizabeth Santos — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	17	90	140	$90	$25.7K
99213	55	100	100	$60	$10.6K
93288	2	10	100	$40	$4K
99406	8	10	50	$10	$650

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dallas County Hospital District	TX	General Acute Care Hospital	$0	$152.8M
Syed Hassan	NY	Family Medicine Physician	$273.6K	$3.1K
Crysela Smith	TX	Diagnostic Radiology Physician	$249.7K	$0
Michael Belsante	TN	Urology Physician	$182.5K	$0
Allaaddin Mollabashy	TX	Orthopaedic Surgery Physician	$170K	$0
Richel Ruivivar	NY	Family Nurse Practitioner	$157.5K	$0
Brian Stark	NV	Physician Assistant	$7.9K	$51.6K
Jayme Benjamin	AR	Certified Registered Nurse Anesthetist	$28K	$0
Ranjiv Saini	SC	Diagnostic Radiology Physician	$4.9K	$0
Abigail Wood	TX	Certified Registered Nurse Anesthetist	$3.6K	$0

Nearby Providers

Other providers in the same ZIP code as Elizabeth Santos, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guam Healthcare Development Incorporated	GU	Clinic/Center	$0	$30.8M
C V Alegria Dds Inc	GU	General Practice Dentistry	$0	$11.3M
Albert Huang	GU	Dentist	$0	$5.4M
Usrc Finegayan, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.5M
Renal Centers Of Guam, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.1M
Government Of Guam Department Of Administration	GU	Federally Qualified Health Center (FQHC)	$0	$2.4M
Maria Chela Mariano	GU	Family Medicine Physician	$0	$1.8M
Scott Shay	GU	Vascular & Interventional Radiology Physician	$1.2M	$0
Anthony Bekkerman	GU	Emergency Medicine Physician	$49.5K	$623.9K
Blue Ocean Medical Group LLC	GU	Family Medicine Physician	$0	$665.1K

Elizabeth Santos — Billing Profile & Reimbursement Data

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Elizabeth Santos — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References