Sanchez, Franchesca

Sanchez, Franchesca was paid $97K by Medicaid between Dec 2022 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoSANCHEZ, FRANCHESCA
BRONX, NY 10453

33aNPI1073271136assigned 12/06/2021

33bProvider typeFamily Nurse Practitioner

28Total paid$97K

24GClaims3,095

24DCodes billed17

24AFirst – last monthDec 2022 – Nov 2024

Compared with peers

Next to other Family Nurse Practitioner providers in New York

Rank by total paid#100 of 1,582

Median peer was paid$2K

This provider vs. median42×

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
2022	65	$1K
2023	1,573	$50K
2024incomplete	1,457	$46K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	35%	878	815	$34K
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	34%	714	651	$34K
99442		19%	494	454	$18K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	6.7%	215	197	$7K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.8%	41	40	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.6%	25	25	$2K
99441		<1%	30	29	$667.30
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	38	38	$432.72
90756		<1%	27	27	$356.18
99397		<1%	12	12	$310.11
90658		<1%	30	30	$153.02
96127		<1%	21	21	$40.71

5 more codes

3078F		<1%	112	$25.87
3074F		<1%	52	$19.08
1159F		<1%	362	$10.00
G0008	Administration of influenza virus vaccine	<1%	14	$8.40
3077F		<1%	30	$2.55

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.