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    OpenPayerNPI Medicare & MedicaidJoseph Santos
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    Joseph Santos — Billing Profile & Reimbursement Data

    NPI 1801896253 · Indianapolis, IN · Nephrology Physician

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    Joseph Santos is a nephrology physician provider located in Indianapolis, Indiana. This profile covers 19 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJoseph Santos
    Address5510 S East St Ste H
    CityIndianapolis
    StateIN
    ZIP46227
    TaxonomyNephrology Physician
    NPI EnumeratedJuly 28, 2005

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

    Payer SourceTotal Paid
    Medicare$155.5K
    Medicaid$0

    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.

    19 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…440$70$29.5K
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…90$260$23.5K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…570$40$23.4K
    99232The 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…290$60$17.1K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…380$40$13.7K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.330$40$11.8K
    99233The 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…120$90$10.6K
    99223The 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…60$130$8.1K
    99204The provider sees a new 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 provider…30$110$3.1K
    99458The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…80$30$2.3K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90960102160130$260$37.9K
    992141,29610,540110$80$15.5K
    992331,0412,72080$90$13.4K
    992327463,97090$60$11.8K
    9949055510120$40$10.4K
    992911,2381,39040$160$10.3K
    992231,0073,08040$120$8.2K
    994571270100$30$7.9K
    992139,69710,82080$50$7.6K
    99458224090$30$7.1K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nephrology Associates Of Northern Indiana, IncINNephrology Physician$0$3.3M
    Anton CabellonINNephrology Physician$1.1M$0
    Khurram SaleemILNephrology Physician$456.1K$6.3K
    Kenneth ChoiINNephrology Physician$379.9K$0
    Venkat VavilalaINNephrology Physician$315.6K$0
    Kristoph GiriczINNephrology Physician$308.8K$0
    Nephrology & Internal Medicine, Inc.INAmbulatory Surgical Clinic/Center$246.2K$57.9K
    Bryan WaldoINNephrology Physician$273.1K$0
    Maher AjamINNephrology Physician$262.3K$0
    Asim ChughtaiINNephrology Physician$259.8K$1.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adult And Child Center, IncINCommunity/Behavioral Health Agency$0$114.1M
    Community Hospital South, Inc.INGeneral Acute Care Hospital$0$27.3M
    Adult And Child Mental Health Center IncINCommunity/Behavioral Health Agency$0$23.5M
    Adult And Child Mental Health Center IncINFederally Qualified Health Center (FQHC)$0$10.7M
    Emergency Dentist,llcINGeneral Practice Dentistry$0$9.3M
    Spero Health Of Indiana, LLCINAddiction Medicine (Family Medicine) Physician$0$8.6M
    East 53rd Street Dental-1, PCINGeneral Practice Dentistry$0$7.4M
    Freedom Home Care, LLC.INHome Health Agency$0$7.4M
    City Optical Co., Inc.INOptometrist$0$6.5M
    Windrose Health Network, Inc.INFederally Qualified Health Center (FQHC)$0$6M

    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. Indiana Distribution
    Joseph Santos — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana