Physician
Roberto E Sanchez MD PA
Roberto E Sanchez MD PA was paid $174K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 29% of everything it billed.
33Billing provider infoROBERTO E SANCHEZ MD PA
SWEETWATER, FL 33172
SWEETWATER, FL 33172
33aNPI1023487147assigned 09/18/2015
33bProvider typeNeurology Physician
28Total paid$174K
24GClaims8,842
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Neurology Physician providers in Florida
Rank by total paid#26 of 159
Median peer was paid$18K
This provider vs. median9.7×
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 | 1,018 | $8K | |
| 2019 | 1,057 | $11K | |
| 2020 | 1,055 | $18K | |
| 2021 | 1,477 | $25K | |
| 2022 | 1,455 | $31K | |
| 2023 | 1,616 | $48K | |
| 2024incomplete | 1,164 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 29% | 4,588 | 1,899 | $50K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 28% | 1,560 | 1,310 | $49K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 16% | 1,129 | 786 | $28K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 16% | 364 | 308 | $27K |
| 99223 | Prolong inpt eval add15 m | 10.0% | 555 | 424 | $17K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 228 | 151 | $2K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 181 | 161 | $0.00 |
| 1124F | 0% | 237 | 155 | $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.
From NPPES
Who's on the registration
Authorized officialSANCHEZ, ROBERTO (PRESIDENT)