Physician
Sanchez, Benny
Sanchez, Benny was paid $231K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoSANCHEZ, BENNY
THE WOODLANDS, TX 77380
THE WOODLANDS, TX 77380
33aNPI1801892153assigned 06/22/2005
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$231K
24GClaims6,974
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Texas
Rank by total paid#12 of 64
Median peer was paid$7K
This provider vs. median35×
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 | 110 | $2K | |
| 2019 | 218 | $1K | |
| 2020 | 674 | $17K | |
| 2021 | 2,001 | $69K | |
| 2022 | 1,461 | $55K | |
| 2023 | 1,632 | $43K | |
| 2024incomplete | 878 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 63% | 4,123 | 3,473 | $145K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 2,057 | 1,758 | $53K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 10.0% | 407 | 372 | $23K |
| 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 | 2.8% | 109 | 92 | $6K |
| 99205 | Prolong outpt/office vis | <1% | 25 | 24 | $2K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 253 | 240 | $687.15 |
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.