Managed care
Erika Sanchez, M.D. INC
Erika Sanchez, M.D. INC was paid $5K by Medicaid between Feb 2018 and Jan 2020, across 7 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 91% of everything it billed.
33Billing provider infoERIKA SANCHEZ, M.D. INC
PLACENTIA, CA 92870
PLACENTIA, CA 92870
33aNPI1831562735assigned 11/02/2015
33bProvider typeExclusive Provider Organization
28Total paid$5K
24GClaims258
24DCodes billed7
24AFirst – last monthFeb 2018 – Jan 2020
Compared with peers
Next to other Exclusive Provider Organization providers in California
Rank by total paid#43 of 55
Median peer was paid$90K
This provider vs. median0.1×
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 | 118 | $5K | |
| 2019 | 125 | $453.31 | |
| 2020 | 15 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 91% | 118 | 109 | $5K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 9.0% | 17 | 17 | $453.31 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 19 | 19 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 19 | 19 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 19 | 19 | $0.00 |
| 1036F | 0% | 47 | 47 | $0.00 | |
| 1123F | 0% | 19 | 19 | $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 officialSAUCEDO-SANCHEZ, ERIKA (OWNER)