Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SANCHEZ CABALLERO, EFRAIN

NPI: 1003456500 · BAYAMON, PR 00956 · General Practice Physician · NPI assigned 01/13/2020

$198K
Total Medicaid Paid
2,497
Total Claims
1,352
Beneficiaries
11
Codes Billed
2023-11
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 370 $24K
2024 2,127 $174K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99235 812 448 $99K
99234 595 290 $58K
99236 Prolong inpt eval add15 m 159 88 $25K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 146 113 $5K
99283 Emergency department visit for the evaluation and management, moderate severity 51 22 $3K
99284 Emergency department visit for the evaluation and management, high severity 27 12 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 479 262 $2K
99232 Subsequent hospital care, per day, moderate complexity 29 14 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 134 72 $1K
94664 33 14 $315.50
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 32 17 $262.80