Physician
Sanchez, Wilmer
Sanchez, Wilmer was paid $1K by Medicaid between Jan 2018 and Jan 2023, across 13 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 100% of everything it billed.
33Billing provider infoSANCHEZ, WILMER
LAJAS, PR 00667
LAJAS, PR 00667
33aNPI1023289238assigned 03/14/2008
33bProvider typeGeneral Practice Physician
28Total paid$1K
24GClaims787
24DCodes billed13
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#651 of 1,195
Median peer was paid$2K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2018 | 703 | $1K | |
| 2019 | 33 | $157.84 | |
| 2023 | 51 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 100% | 213 | 176 | $1K |
| 1158F | <1% | 41 | 38 | $4.00 | |
| 3074F | 0% | 89 | 72 | $0.00 | |
| 1126F | 0% | 13 | 13 | $0.00 | |
| 1101F | 0% | 24 | 22 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 91 | 60 | $0.00 |
| 3008F | 0% | 77 | 53 | $0.00 | |
| 1170F | 0% | 35 | 29 | $0.00 | |
| 3078F | 0% | 87 | 71 | $0.00 | |
| 1160F | 0% | 36 | 30 | $0.00 | |
| 1159F | 0% | 36 | 30 | $0.00 | |
| 1090F | 0% | 24 | 22 | $0.00 |
1 more codes
| 0521F | 0% | 21 | $0.00 |
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.