Physician
Sastre, Alberto
Sastre, Alberto was paid $9K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 96160, — 30% of everything it billed.
33Billing provider infoSASTRE, ALBERTO
CIALES, PR 00638
CIALES, PR 00638
33aNPI1295702504assigned 03/06/2006
33bProvider typeGeneral Practice Physician
28Total paid$9K
24GClaims11,202
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#419 of 1,195
Median peer was paid$2K
This provider vs. median4.4×
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 | 2,040 | $605.82 | |
| 2019 | 1,533 | $1K | |
| 2020 | 971 | $2K | |
| 2021 | 1,553 | $3K | |
| 2022 | 1,575 | $381.00 | |
| 2023 | 1,772 | $2K | |
| 2024incomplete | 1,758 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96160 | 30% | 98 | 81 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 18% | 54 | 53 | $2K |
| 90686 | 17% | 96 | 96 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14% | 2,269 | 1,807 | $1K |
| 99442 | 7.3% | 2,426 | 2,108 | $659.52 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 5,211 | 4,172 | $605.31 |
| 90656 | 5.3% | 33 | 31 | $480.72 | |
| 99441 | <1% | 100 | 92 | $58.58 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 190 | 173 | $0.00 |
| 3049F | 0% | 17 | 17 | $0.00 | |
| 96127 | 0% | 229 | 208 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 55 | 53 | $0.00 |
8 more codes
| 3017F | 0% | 18 | $0.00 | |
| 4037F | 0% | 28 | $0.00 | |
| 3074F | 0% | 12 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 44 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 14 | $0.00 |
| 3725F | 0% | 263 | $0.00 | |
| 1033F | 0% | 21 | $0.00 | |
| 3078F | 0% | 24 | $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.