Alfredo Sanchez Fortis M D P a
Alfredo Sanchez Fortis M D P a was paid $184K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 32% of everything it billed.
33Billing provider infoALFREDO SANCHEZ FORTIS M D P A
MIAMI SHORES, FL 33138
MIAMI SHORES, FL 33138
33aNPI1558446492assigned 10/26/2006
33bProvider typeSpecialist
28Total paid$184K
24GClaims14,449
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Florida
Rank by total paid#155 of 553
Median peer was paid$31K
This provider vs. median5.9×
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
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 | 898 | $7K | |
| 2019 | 3,103 | $60K | |
| 2020 | 2,943 | $46K | |
| 2021 | 1,244 | $29K | |
| 2022 | 2,548 | $6K | |
| 2023 | 3,142 | $34K | |
| 2024incomplete | 571 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 32% | 1,806 | 1,293 | $59K |
| 99223 | Prolong inpt eval add15 m | 29% | 1,584 | 923 | $53K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 26% | 7,333 | 1,153 | $48K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.2% | 1,952 | 1,085 | $13K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 4.9% | 1,725 | 373 | $9K |
| 90961 | <1% | 49 | 24 | $947.85 |
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.
From NPPES
Who's on the registration
Authorized officialSANCHEZ-FORTIS, ALFREDO (PRESIDENT/OWNER)