Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Freeport › NPI 1164490256
Physician

Sanchez, Carlos

Sanchez, Carlos was paid $375K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 47% of everything it billed.

33Billing provider infoSANCHEZ, CARLOS
FREEPORT, IL 61032
33aNPI1164490256assigned 03/14/2006
28Total paid$375K
24GClaims6,319
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#297 of 1,980
Median peer was paid$150K
This provider vs. median2.5×

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

$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
2018707$28K
2019804$35K
20201,326$69K
20211,173$77K
2022936$66K
2023798$56K
2024incomplete575$44K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 47% 3,110 2,706 $175K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 43% 2,137 1,893 $161K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 10% 1,072 929 $39K

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.