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
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
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 | 704 | $12K | |
| 2019 | 606 | $10K | |
| 2020 | 482 | $17K | |
| 2021 | 855 | $51K | |
| 2022 | 842 | $75K | |
| 2023 | 677 | $76K | |
| 2024incomplete | 160 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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)