Sanchez-Garcia, William

Sanchez-Garcia, William was paid $8K by Medicaid between Oct 2018 and Apr 2020, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.

33Billing provider infoSANCHEZ-GARCIA, WILLIAM
LIBERTYVILLE, IL 60048

33aNPI1548642564assigned 06/25/2015

33bProvider typeCardiovascular Disease Physician

28Total paid$8K

24GClaims993

24DCodes billed6

24AFirst – last monthOct 2018 – Apr 2020

Compared with peers

Next to other Cardiovascular Disease Physician providers in Illinois

Rank by total paid#523 of 678

Median peer was paid$36K

This provider vs. median0.2×

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	99	$782.65
2019	779	$5K
2020	115	$2K

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	71%	426	425	$6K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	15%	68	42	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.7%	26	26	$550.68
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	6.4%	25	21	$526.19
99201		1.3%	12	12	$108.79
99429		0%	436	320	$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.