Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Central Islip › NPI 1528001260
Physician

Sanchez, David

Sanchez, David was paid $16K by Medicaid between Aug 2018 and Dec 2024, across 19 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 47% of everything it billed.

33Billing provider infoSANCHEZ, DAVID
CENTRAL ISLIP, NY 11722
33aNPI1528001260assigned 06/13/2006
33bProvider typePediatrics Physician
28Total paid$16K
24GClaims1,964
24DCodes billed19
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#1,000 of 1,983
Median peer was paid$17K
This provider vs. median0.9×

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$1.0K$2.0K2018201920202021202220232024
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
2018127$0.00
2020104$0.00
2021492$5K
202294$2K
202358$797.75
2024incomplete1,089$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90460 Immunization administration through 18 years of age via any route, first or only component 47% 615 609 $8K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 16% 98 98 $3K
0071A 12% 47 42 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 11% 41 40 $2K
90461 4.4% 152 151 $703.94
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.9% 31 31 $468.00
90619 2.4% 29 29 $380.44
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.0% 67 66 $312.28
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.6% 29 29 $252.98
90661 <1% 142 142 $141.66
91307 <1% 47 42 $0.46
90620 0% 26 26 $0.00
7 more codes
90651 0% 18 $0.00
90686 0% 56 $0.00
90716 0% 12 $0.00
99080 0% 502 $0.00
90715 0% 12 $0.00
90671 0% 19 $0.00
90633 0% 21 $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.