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

Mendez Sanchez, Adriana

Mendez Sanchez, Adriana was paid $836K by Medicaid between Aug 2023 and Nov 2024, across 4 billing codes. Its largest line is 95819, — 33% of everything it billed.

33Billing provider infoMENDEZ SANCHEZ, ADRIANA
MAYAGUEZ, PR 00682
33aNPI1548508252assigned 01/30/2013
33bProvider typePediatrics Physician
28Total paid$836K
24GClaims4,257
24DCodes billed4
24AFirst – last monthAug 2023 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#11 of 194
Median peer was paid$7K
This provider vs. median124×

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$50K$100K$150K2018201920202021202220232024
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
2023936$184K
2024incomplete3,321$652K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95819 33% 780 613 $279K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 24% 1,523 1,148 $200K
99205 Prolong outpt/office vis 23% 1,141 860 $189K
95957 20% 813 642 $168K

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.