Treatment Tracker

The Doctors and Services in Medicare Part B

This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $628 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.

Number of
Patients
220
Rank: 12th
out of 23 providers in this state & specialty
Services
Performed
1,117
Rank: 8th
out of 23 providers in this state & specialty
Avg Services
Per Patient
5.1 This Provider
Avg 6.8
Total Paid
by Medicare
$119K
Rank: 10th
out of 23 providers in this state & specialty
Avg Paid
Per Patient
$539 This Provider
Avg $628

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 24 different services in 2015
(11 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
324
times performed,
29% of his services

1st Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

64
patients got this service, 29% of his patients
5.1
average number of visits a patient made for this service
$38,880.00an average of $120.00 per time performed $20,807.28
an average of $64.22 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
205
times performed,
18% of his services

2nd Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

84
patients got this service, 38% of his patients
2.4
average number of visits a patient made for this service
$39,485.05an average of $192.61 per time performed $18,919.45
an average of $92.29 per time performed
medical
MEDICINE

Dialysis services (1 physician visit per month), patient ... +

Dialysis services (1 physician visit per month), patient 20 years of age and older ×

Service Code: 90962
Performed in a facility
167
times performed,
15% of his services

3rd Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

27
patients got this service, 12% of his patients
6.2
average number of visits a patient made for this service
$50,100.00an average of $300.00 per time performed $27,732.02
an average of $166.06 per time performed
medical
MEDICINE

Dialysis services (2-3 physician visits per month), patie... +

Dialysis services (2-3 physician visits per month), patient 20 years of age and older ×

Service Code: 90961
Performed in a facility
93
times performed,
8% of his services

4th Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

23
patients got this service, 10% of his patients
4
average number of visits a patient made for this service
$37,200.00an average of $400.00 per time performed $19,807.14
an average of $212.98 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
59
times performed,
5% of his services

5th Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

48
patients got this service, 22% of his patients
1.2
average number of visits a patient made for this service
$19,175.00an average of $325.00 per time performed $10,621.77
an average of $180.03 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
59
times performed,
5% of his services

6th Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

37
patients got this service, 17% of his patients
1.6
average number of visits a patient made for this service
$9,329.08an average of $158.12 per time performed $3,715.82
an average of $62.98 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
31
times performed,
3% of his services

7th Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

19
patients got this service, 9% of his patients
1.6
average number of visits a patient made for this service
$4,805.00an average of $155.00 per time performed $2,880.52
an average of $92.92 per time performed
medical
MEDICINE

Hemodialysis procedure with one physician evaluation

Service Code: 90935
Performed in a facility
31
times performed,
3% of his services

8th Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

19
patients got this service, 9% of his patients
1.6
average number of visits a patient made for this service
$5,735.00an average of $185.00 per time performed $1,984.93
an average of $64.03 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
19
times performed,
2% of his services

9th Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

19
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
$744.99an average of $39.21 per time performed $611.80
an average of $32.20 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in a facility
19
times performed,
2% of his services

10th Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

12
patients got this service, 5% of his patients
1.6
average number of visits a patient made for this service
$3,325.00an average of $175.00 per time performed $907.63
an average of $47.77 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
14
times performed,
1% of his services

11th Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

14
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$4,570.02an average of $326.43 per time performed $2,425.78
an average of $173.27 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
13
times performed,
1% of his services

12th Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

13
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$560.04an average of $43.08 per time performed $462.67
an average of $35.59 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
13
times performed,
1% of his services

13th Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

12
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$3,063.97an average of $235.69 per time performed $1,511.25
an average of $116.25 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

This provider charged Medicare for a higher percentage of 5’s than his peers.

1234512345
Hector Luis Santiesteban
Average for Ambulatory Health Care Facilities, Clinic/Center Providers in California

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Read our methodology.