Physician
Sanchez-Diaz, Pedro
Sanchez-Diaz, Pedro was paid $901K by Medicaid between Oct 2018 and Nov 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
33Billing provider infoSANCHEZ-DIAZ, PEDRO
MIAMI, FL 33144
MIAMI, FL 33144
33aNPI1467411017assigned 03/22/2006
33bProvider typePediatrics Physician
28Total paid$901K
24GClaims22,962
24DCodes billed22
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#279 of 971
Median peer was paid$238K
This provider vs. median3.8×
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 | 355 | $5K | |
| 2019 | 3,715 | $142K | |
| 2020 | 4,604 | $167K | |
| 2021 | 3,286 | $145K | |
| 2022 | 5,056 | $212K | |
| 2023 | 4,308 | $160K | |
| 2024incomplete | 1,638 | $70K |
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 | 74% | 8,137 | 5,999 | $670K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 425 | 387 | $74K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.4% | 285 | 275 | $58K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.1% | 357 | 333 | $55K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 3,676 | 2,269 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 89 | 77 | $11K |
| 97802 | <1% | 1,690 | 1,559 | $4K | |
| 92552 | <1% | 1,246 | 1,167 | $4K | |
| 90686 | <1% | 518 | 458 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,134 | 1,056 | $2K |
| 90688 | <1% | 682 | 623 | $1K | |
| 86580 | <1% | 1,635 | 1,532 | $1K |
10 more codes
| 94667 | <1% | 420 | $829.64 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 1,761 | $516.19 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 495 | $467.88 |
| 90461 | <1% | 55 | $384.12 | |
| 99051 | <1% | 69 | $58.37 | |
| 90672 | <1% | 13 | $57.02 | |
| 87110 | <1% | 154 | $38.71 | |
| 90656 | <1% | 17 | $25.00 | |
| 90694 | 0% | 24 | $0.00 | |
| 81002 | 0% | 80 | $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.