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

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

Edgar Santillan (NPI 1902823867)

Field	Value
Entity Type	Individual
Organization	Edgar Santillan
Address	2400 Miami Valley Dr
City	Centerville
State	OH
ZIP	45459
Taxonomy	Hospitalist Physician
NPI Enumerated	July 16, 2006

Payer Source	Total Paid
Medicare	$105K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	780	$60	$45.1K
99204	The 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…	290	$90	$26.7K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	130	$130	$16.6K
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…	90	$70	$6.6K
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	$90	$6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	40	$110	$4.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Edgar Santillan — 3 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	10,210	20,010	100	$70	$11.7K
99233	2,907	5,570	70	$90	$11.2K
99232	195	8,050	70	$60	$8.7K
99215	2,014	4,950	30	$110	$5.9K
99204	19	8,330	30	$100	$4.4K
99205	10	2,130	20	$140	$4.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Knd Development 59 LLC	NM	Hospitalist Physician	$0	$2.9M
Shaya Ansari	NY	Diagnostic Radiology Physician	$1.5M	$1K
George Ansstas	MO	Medical Oncology Physician	$627K	$0
Dhiresh Joshi	NV	Infectious Disease Physician	$274.2K	$332.8K
Tiffany Lewis	NM	Diagnostic Radiology Physician	$402K	$3.3K
Ziad Alnabki	FL	Interventional Cardiology Physician	$393.9K	$0
Charles Malis	MA	Family Medicine Physician	$85K	$300.8K
Jamie Giesbrandt	NM	Diagnostic Radiology Physician	$385.5K	$0
Mark Depper	NM	Diagnostic Radiology Physician	$351.4K	$0
Matthew Keith	KY	Interventional Cardiology Physician	$348K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri Star Scientific Inc.	OH	PACE Provider Organization	$0	$17.6M
Crn Healthcare, Inc.	OH	Community/Behavioral Health Agency	$0	$15M
Compassus Op Of Ohio LLC	OH	Community Based Hospice Care Agency	$0	$8.2M
Six Roses Home Health Care	OH	Home Health Clinical Nurse Specialist	$0	$7.5M
Dermatopathology Laboratory Of Central States	OH	Clinical Medical Laboratory	$3.1M	$1.8M
Surgery Center At Corporate Way LLC	OH	Ambulatory Surgical Clinic/Center	$1.7M	$326.8K
Digestive Endoscopy Center LLC	OH	Ambulatory Surgical Clinic/Center	$623.5K	$872.5K
David Key	OH	Urology Physician	$520.8K	$0
Timothy Schoonover	OH	Neurology Physician	$356.8K	$0
Amol Soin	OH	Interventional Pain Medicine Physician	$352.6K	$0

Edgar Santillan — Billing Profile & Reimbursement Data

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Edgar Santillan — 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

Nearby Providers

Frequently Asked Questions

References