Physician
Pitstick Sanchez, Claire
Pitstick Sanchez, Claire was paid $25K by Medicaid between Aug 2024 and Nov 2024, across 14 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 20% of everything it billed.
33Billing provider infoPITSTICK SANCHEZ, CLAIRE
NORTH RIVERSIDE, IL 60546
NORTH RIVERSIDE, IL 60546
33aNPI1831757301assigned 05/30/2019
33bProvider typePediatrics Physician
28Total paid$25K
24GClaims762
24DCodes billed14
24AFirst – last monthAug 2024 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#1,110 of 1,805
Median peer was paid$55K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2024incomplete | 762 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20% | 66 | 56 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 51 | 48 | $3K |
| 96127 | 11% | 183 | 158 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 33 | 29 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.1% | 33 | 30 | $2K |
| 96160 | 7.5% | 129 | 117 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.4% | 22 | 21 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.0% | 71 | 67 | $2K |
| 90656 | 5.9% | 92 | 89 | $2K | |
| 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 | 5.4% | 14 | 14 | $1K |
| 90677 | 1.3% | 20 | 18 | $336.84 | |
| 90651 | 1.1% | 17 | 15 | $287.70 |
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.