Physician
Sanchez, Brian
Sanchez, Brian was paid $15K by Medicaid between Oct 2023 and Jul 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoSANCHEZ, BRIAN
COLUMBIANA, OH 44408
COLUMBIANA, OH 44408
33aNPI1548757685assigned 04/14/2018
33bProvider typeFamily Medicine Physician
28Total paid$15K
24GClaims1,177
24DCodes billed8
24AFirst – last monthOct 2023 – Jul 2024
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#428 of 739
Median peer was paid$30K
This provider vs. median0.5×
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 | 167 | $2K | |
| 2024incomplete | 1,010 | $13K |
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 | 59% | 205 | 201 | $9K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 41% | 105 | 104 | $6K |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 171 | 170 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 257 | 251 | $0.00 |
| 4004F | 0% | 65 | 63 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 152 | 149 | $0.00 |
| 1036F | 0% | 160 | 156 | $0.00 | |
| 3017F | 0% | 62 | 58 | $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.