Manuel J Sanchez, MD, PA

Manuel J Sanchez, MD, PA was paid $919K by Medicaid between Jan 2018 and Jan 2024, across 80 billing codes. Its largest line is 99444, — 58% of everything it billed.

33Billing provider infoMANUEL J SANCHEZ, MD, PA
MCALLEN, TX 78501

33aNPI1295861557assigned 02/23/2007

33bProvider typeFamily Medicine Physician

28Total paid$919K

24GClaims82,558

24DCodes billed80

24AFirst – last monthJan 2018 – Jan 2024

Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#108 of 1,204

Median peer was paid$31K

This provider vs. median30×

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	28,970	$284K
2019	24,376	$365K
2020	9,306	$95K
2021	8,824	$78K
2022	8,356	$67K
2023	2,678	$29K
2024incomplete	48	$595.77

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99444		58%	9,350	2,399	$534K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	7,808	6,288	$135K
99421		8.9%	4,696	1,283	$82K
J7321	Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	4.1%	2,359	739	$38K
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	2.1%	1,266	1,160	$19K
80050	General health panel	1.2%	448	392	$11K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.0%	1,432	1,286	$10K
27370		<1%	2,009	610	$9K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	1,451	1,285	$9K
77002		<1%	1,174	752	$7K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	3,627	1,131	$6K
80061	Lipid panel	<1%	1,550	1,496	$4K

68 more codes

83036	Hemoglobin; glycosylated (A1C)	<1%	1,670	$4K
71046	Radiologic examination, chest; 2 views	<1%	469	$4K
99000		<1%	1,074	$3K
82044		<1%	1,933	$3K
80053	Comprehensive metabolic panel	<1%	2,140	$3K
97162		<1%	168	$3K
82570		<1%	1,888	$3K
20610		<1%	1,333	$3K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	2,143	$3K
27369		<1%	1,009	$3K
84439		<1%	1,189	$2K
81001		<1%	2,648	$2K
84481		<1%	998	$2K
73580		<1%	3,032	$2K
93000		<1%	394	$2K
99203	Doctor's office visit, new patient (routine)	<1%	118	$2K
84443	Thyroid stimulating hormone (TSH)	<1%	1,461	$1K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	228	$1K
90674		<1%	295	$934.67
99457		<1%	1,078	$868.00
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	537	$795.01
95923		<1%	27	$748.08
97032		<1%	2,275	$646.13
73560		<1%	309	$586.78
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	82	$561.06
99441		<1%	41	$474.43
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	637	$457.94
90756		<1%	26	$446.82
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	<1%	1,234	$356.07
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	552	$255.38
90688		<1%	34	$190.56
99458		<1%	163	$156.45
99454		<1%	406	$139.07
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	544	$93.80
72082		<1%	16	$60.52
95921		<1%	27	$59.94
99453		<1%	15	$36.10
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	1,113	$31.62
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	26	$28.00
36415	Collection of venous blood by venipuncture	<1%	3,845	$16.00
84550		<1%	41	$7.36
85651		<1%	63	$6.90
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	3,324	$0.36
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	618	$0.14
G0442	Annual alcohol misuse screening, 5 to 15 minutes	0%	295	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	241	$0.00
1170F		0%	321	$0.00
3074F		0%	13	$0.00
G0008	Administration of influenza virus vaccine	0%	257	$0.00
1126F		0%	220	$0.00
J0696	Injection, ceftriaxone sodium, per 250 mg	0%	48	$0.00
97016		0%	45	$0.00
1125F		0%	17	$0.00
1090F		0%	308	$0.00
J7320	Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	0%	983	$0.00
3725F		0%	306	$0.00
1160F		0%	40	$0.00
G8979	Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting	0%	132	$0.00
3288F		0%	297	$0.00
G8978	Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals	0%	133	$0.00
G8539	Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment	0%	308	$0.00
77080		0%	29	$0.00
82274		0%	12	$0.00
1159F		0%	40	$0.00
99497		0%	13	$0.00
96102		0%	38	$0.00
3078F		0%	22	$0.00
Q9960	High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml	0%	47	$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.

From NPPES

Who's on the registration

Authorized officialSANCHEZ, MANUEL (OWNER)