Physician
Carlos Sacristan, M.D., LLC
Carlos Sacristan, M.D., LLC was paid $560K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoCARLOS SACRISTAN, M.D., LLC
PASSAIC, NJ 07055
PASSAIC, NJ 07055
33aNPI1629363627assigned 06/17/2011
33bProvider typeGeneral Practice Physician
28Total paid$560K
24GClaims14,276
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in New Jersey
Rank by total paid#4 of 35
Median peer was paid$17K
This provider vs. median33×
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 | 2,245 | $94K | |
| 2019 | 2,080 | $79K | |
| 2020 | 1,756 | $61K | |
| 2021 | 2,062 | $93K | |
| 2022 | 2,253 | $94K | |
| 2023 | 2,306 | $77K | |
| 2024incomplete | 1,574 | $61K |
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 | 52% | 7,604 | 6,457 | $288K |
| 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 | 29% | 4,133 | 3,956 | $164K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 16% | 1,439 | 1,402 | $91K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.5% | 83 | 82 | $8K |
| 90686 | <1% | 384 | 367 | $3K | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 24 | 24 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 110 | 106 | $1K |
| G0008 | Administration of influenza virus vaccine | <1% | 237 | 221 | $836.68 |
| 90656 | <1% | 49 | 48 | $218.92 | |
| 3078F | 0% | 83 | 43 | $0.00 | |
| 3075F | 0% | 28 | 19 | $0.00 | |
| 3079F | 0% | 25 | 17 | $0.00 |
1 more codes
| 3074F | 0% | 77 | $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 officialSACRISTAN, CARLOS (CEO)