Sanchez Caballero, Efrain

Sanchez Caballero, Efrain was paid $198K by Medicaid between Nov 2023 and Dec 2024, across 11 billing codes. Its largest line is 99235, — 50% of everything it billed.

33Billing provider infoSANCHEZ CABALLERO, EFRAIN
BAYAMON, PR 00956

33aNPI1003456500assigned 01/13/2020

33bProvider typeGeneral Practice Physician

28Total paid$198K

24GClaims2,497

24DCodes billed11

24AFirst – last monthNov 2023 – Dec 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#115 of 1,195

Median peer was paid$2K

This provider vs. median97×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2023	370	$24K
2024incomplete	2,127	$174K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99235		50%	812	448	$99K
99234		29%	595	290	$58K
99236	Prolong inpt eval add15 m	13%	159	88	$25K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	2.5%	146	113	$5K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	1.4%	51	22	$3K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	1.2%	27	12	$2K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	1.2%	479	262	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	29	14	$1K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	134	72	$1K
94664		<1%	33	14	$315.50
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	32	17	$262.80

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.