Physician
Carlos J. Sanchez M.D.
Carlos J. Sanchez M.D. was paid $715K by Medicaid between Jan 2018 and Mar 2023, across 52 billing codes. Its largest line is 90651, — 20% of everything it billed.
33Billing provider infoCARLOS J. SANCHEZ M.D.
CHULA VISTA, CA 91911
CHULA VISTA, CA 91911
33aNPI1568551893assigned 10/12/2006
33bProvider typePediatrics Physician
28Total paid$715K
24GClaims74,762
24DCodes billed52
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#168 of 1,490
Median peer was paid$15K
This provider vs. median48×
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 | 11,289 | $165K | |
| 2019 | 16,687 | $186K | |
| 2020 | 13,557 | $109K | |
| 2021 | 15,562 | $160K | |
| 2022 | 14,312 | $73K | |
| 2023 | 3,355 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90651 | 20% | 1,400 | 1,344 | $142K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 3,147 | 3,061 | $78K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 2,606 | 2,547 | $76K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.4% | 9,775 | 8,724 | $60K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 2,084 | 2,031 | $58K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.9% | 1,234 | 1,177 | $56K |
| G9919 | Screening performed and positive and provision of recommendations | 7.3% | 2,534 | 2,532 | $52K |
| 96156 | 5.9% | 3,812 | 3,811 | $42K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 2,920 | 2,844 | $24K |
| 92551 | 3.0% | 7,006 | 6,990 | $22K | |
| 90686 | 2.1% | 3,610 | 3,561 | $15K | |
| 90619 | 1.4% | 102 | 102 | $10K |
40 more codes
| 99381 | 1.2% | 105 | $9K | |
| 90670 | <1% | 1,533 | $7K | |
| 90697 | <1% | 127 | $6K | |
| 97802 | <1% | 23 | $6K | |
| 90698 | <1% | 1,011 | $5K | |
| 90680 | <1% | 989 | $5K | |
| 90744 | <1% | 753 | $4K | |
| 90633 | <1% | 1,057 | $4K | |
| 90716 | <1% | 1,116 | $4K | |
| 90685 | <1% | 186 | $4K | |
| 85018 | <1% | 5,402 | $4K | |
| 90707 | <1% | 1,033 | $3K | |
| 90734 | <1% | 1,119 | $3K | |
| 80061 | Lipid panel | <1% | 343 | $2K |
| 83655 | <1% | 505 | $2K | |
| 99383 | <1% | 24 | $2K | |
| 90715 | <1% | 709 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 186 | $1K |
| 90621 | <1% | 551 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 959 | $815.06 |
| 90696 | <1% | 192 | $600.75 | |
| 90700 | <1% | 178 | $567.00 | |
| 90461 | <1% | 1,387 | $464.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 138 | $353.64 |
| 96160 | <1% | 3,863 | $289.40 | |
| 90713 | <1% | 38 | $180.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,732 | $174.00 |
| 90648 | <1% | 45 | $153.00 | |
| 99173 | <1% | 5,241 | $116.00 | |
| 90671 | <1% | 29 | $99.00 | |
| 99000 | <1% | 449 | $96.97 | |
| 85032 | <1% | 17 | $78.71 | |
| 86580 | <1% | 26 | $66.60 | |
| 81003 | <1% | 151 | $54.70 | |
| 99401 | 0% | 23 | $0.00 | |
| 91300 | 0% | 215 | $0.00 | |
| 36416 | 0% | 28 | $0.00 | |
| 90657 | 0% | 15 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 22 | $0.00 |
| 99172 | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialLASTHAUS, JOHANNES (OFFICE MANAGER)