Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Paterson › NPI 1316911282
Physician

Sanchez-Pena, Jose

Sanchez-Pena, Jose was paid $89K by Medicaid between May 2018 and Oct 2021, across 5 billing codes. Its largest line is 95004, Percutaneous tests with allergenic extracts, immediate type reaction — 97% of everything it billed.

33Billing provider infoSANCHEZ-PENA, JOSE
PATERSON, NJ 07514
33aNPI1316911282assigned 02/15/2006
28Total paid$89K
24GClaims323
24DCodes billed5
24AFirst – last monthMay 2018 – Oct 2021
Compared with peers

Next to other Sleep Medicine (Internal Medicine) Physician providers in New Jersey

Rank by total paid#2 of 6
Median peer was paid$23K
This provider vs. median3.9×

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
2018179$80K
2021144$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95004 Percutaneous tests with allergenic extracts, immediate type reaction 97% 217 216 $86K
94729 1.8% 31 31 $2K
94727 1.3% 29 29 $1K
94010 <1% 15 15 $385.11
94200 0% 31 31 $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.