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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEric Santiago
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    Eric Santiago — Billing Profile & Reimbursement Data

    NPI 1457502114 · Fpo, AP · Internal Medicine Physician

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    Eric Santiago is a internal medicine physician provider located in Fpo, Armed Forces Pacific. This profile covers 15 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEric Santiago
    AddressPsc 482
    CityFpo
    StateAP (Armed Forces Pacific)
    ZIP96362
    TaxonomyInternal Medicine Physician
    NPI EnumeratedSeptember 30, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$154K
    Medicaid$0

    Key Findings

    This provider’s billing footprint is effectively single‑payer in the dataset: lifetime Medicare revenue is $154K and there is no Medicaid billing on file. With no Medicaid activity reported, the practice’s Medicare performance should be interpreted as representing the bulk of its publicly billed volume and revenue.

    Revenue is highly concentrated in three codes: the precomputed top‑3 Medicare codes account for 78.4% of the provider’s total Medicare revenue. Those top codes are 99214 (762 claims, $75 avg paid/claim, $57.2K revenue; 37.1% of total Medicare revenue), G0439 (340 claims, $119 avg paid/claim, $40.5K revenue; 26.3% of total Medicare revenue) and 99213 (413 claims, $56 avg paid/claim, $23.1K revenue; 15.0% of total Medicare revenue).

    The code mix indicates an office‑based primary care operation with a strong emphasis on evaluation/management and preventive care: 99214 and 99213 are the main E/M visit drivers and G0439 (Annual wellness visit) is a major contributor. The provider also bills vaccine administration and vaccine product codes (90662: 125 claims, $71 avg, $8.9K revenue; 90677: 22 claims, $282 avg, $6.2K revenue; G0008: 138 claims, $28 avg, $3.9K revenue), showing routine immunization services layered onto the ambulatory E/M workload.

    On competitive standing, the provider appears to be a high‑volume national performer for key preventive and higher‑level E/M services: 99214 ranks #21863 of 479517 providers nationally (95th percentile) and G0439 ranks #2902 of 105855 providers nationally (97th percentile), both described as notably above typical national volume. By contrast, 99213 is described as a typical, unremarkable volume (rank #37211 of 457151, 92th percentile), indicating stronger relative performance specifically on higher‑level E/M and AWV delivery rather than across all routine visit levels.

    The practice also bills post‑discharge and home‑care coordination codes, suggesting involvement in transitions of care and home health processes: 99495 (31 claims, $147 avg, $4.6K revenue; 3.0% of Medicare revenue) and 99496 (15 claims, $206 avg, $3.1K revenue; 2.0% of Medicare revenue) are present, as are home health certification codes G0179 (56 claims, $25 avg, $1.4K revenue) and G0180 (37 claims, $35 avg, $1.3K revenue). These codes indicate the provider bills for both moderate and higher‑level transition management and the administrative oversight required for home health plans of care.

    The heavy reliance on three codes creates concentration risk and operational sensitivity: with 78.4% of Medicare revenue tied to 99214, G0439 and 99213, changes in utilization patterns or reimbursement for E/M and AWV services would materially affect overall revenue. This concentration also points to a clear operational focus that could be an opportunity to diversify services or payers (the latter is notable given the absence of Medicaid billing) if the practice seeks to broaden its revenue base.

    The provider’s NPI was enumerated on 2008‑09‑30 (~18 years ago), indicating a long tenure in the Medicare program. This length of enrollment is consistent with an established ambulatory practice and helps explain sustained volumes in routine and preventive visit codes.

    Ancillary procedure and drug revenue is minimal relative to visit and preventive codes: example items include 96372 (114 claims, $9 avg, $1K revenue), J3301 (32 claims, $1 avg, $32 revenue) and J3420 (23 claims, $1 avg, $23 revenue), all contributing negligible shares of total Medicare revenue. The dataset therefore portrays a cognitive, visit‑centric revenue profile rather than a procedure‑oriented or drug‑administration practice model.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…760$80$57.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit340$120$40.5K
    99213The 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…410$60$23.1K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…130$70$8.9K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…20$280$6.2K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…30$150$4.6K
    G0008Administration of influenza virus vaccine140$30$3.9K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…20$210$3.1K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment20$160$2.3K
    G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…60$30$1.4K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes. Note: this provider's state, "AP," is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G043911050$120$15.9K
    9921412060$80$9.1K
    9067711020$280$5.9K
    9066211070$70$5.3K
    9949511030$150$4.6K
    9921311030$50$4.2K
    9949611020$210$3.1K
    G040211020$160$2.3K
    G000811080$30$2.3K
    G017911060$30$1.4K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nicholas DarbyALFamily Medicine Physician$148.2K$0
    Annadorai KalahasthyOHInternal Medicine Physician$145.2K$0
    Blessing NollahOHHematology & Oncology Physician$63.9K$0
    Jihad JbaraMNFamily Medicine Physician$37.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cameron ColvigAP (Armed Forces Pacific)Emergency Medicine Physician$0$47.7K
    Lydia HunterAP (Armed Forces Pacific)Physical Therapist$29.5K$0
    Roger DavisAP (Armed Forces Pacific)Certified Registered Nurse Anesthetist$20.3K$0
    Jeffrey Pearson—Physician Assistant$12.5K$0
    Zach TarrillionAP (Armed Forces Pacific)Military Health Care Provider$5.6K$0
    Victor GutierrezAP (Armed Forces Pacific)Emergency Medicine Physician$5.4K$0
    Tequilla PryorAP (Armed Forces Pacific)Pediatrics Physician$0$3.3K
    Kristin ArmstrongAP (Armed Forces Pacific)Hand Occupational Therapist$2.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Armed Forces Pacific Distribution
    Eric Santiago — 6 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Pacific