Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sanchez-Colon, Luis

Sanchez-Colon, Luis was paid $326K by Medicaid between Aug 2020 and Dec 2024, across 5 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 50% of everything it billed.

33Billing provider infoSANCHEZ-COLON, LUIS
CAYEY, PR 00736
33aNPI1538423819assigned 07/01/2012
28Total paid$326K
24GClaims3,075
24DCodes billed5
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers

Next to other Sports Medicine (Physical Medicine & Rehabilitation) Physician providers in Puerto Rico

Rank by total paid#3 of 7
Median peer was paid$160K
This provider vs. median2.0×

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$20K$40K2018201920202021202220232024
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
202039$2K
2021191$10K
2022310$29K
2023802$87K
2024incomplete1,733$199K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 50% 1,041 726 $162K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 41% 1,598 519 $132K
99222 Initial hospital care, per day, moderate complexity 7.2% 222 167 $24K
99254 1.7% 153 149 $5K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 61 46 $3K

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.