Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gustavo R. Sanchez MD, Facog CSP

Gustavo R. Sanchez MD, Facog CSP was paid $261K by Medicaid between Feb 2018 and Dec 2024, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 65% of everything it billed.

33Billing provider infoGUSTAVO R. SANCHEZ MD, FACOG CSP
GUAYAMA, PR 00784
33aNPI1033574405assigned 12/29/2015
28Total paid$261K
24GClaims4,326
24DCodes billed5
24AFirst – last monthFeb 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018704$12K
2019606$10K
2020482$17K
2021855$51K
2022842$75K
2023677$76K
2024incomplete160$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 65% 2,810 2,435 $169K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 848 743 $54K
99205 Prolong outpt/office vis 12% 263 223 $30K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.7% 60 39 $5K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1.1% 345 338 $3K

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, GUSTAVO (PRESIDENT)