Sanchez Diaz, Carolina

Sanchez Diaz, Carolina was paid $109K by Medicaid between Mar 2023 and Dec 2024, across 5 billing codes. Its largest line is 99235, — 86% of everything it billed.

33Billing provider infoSANCHEZ DIAZ, CAROLINA
CAYEY, PR 00736

33aNPI1477174167assigned 05/04/2020

33bProvider typeGeneral Practice Physician

28Total paid$109K

24GClaims1,021

24DCodes billed5

24AFirst – last monthMar 2023 – Dec 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#170 of 1,195

Median peer was paid$2K

This provider vs. median53×

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
2023	571	$67K
2024incomplete	450	$42K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99235		86%	754	698	$94K
99234		6.9%	75	53	$7K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	6.2%	73	43	$7K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	<1%	53	24	$570.31
76140		0%	66	56	$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.