Physician
Sanchez, Luis
Sanchez, Luis was paid $797K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoSANCHEZ, LUIS
CHULA VISTA, CA 91910
CHULA VISTA, CA 91910
33aNPI1841301330assigned 08/31/2006
33bProvider typeInternal Medicine Physician
28Total paid$797K
24GClaims14,997
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#166 of 2,679
Median peer was paid$13K
This provider vs. median63×
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 | 2,279 | $72K | |
| 2019 | 2,799 | $128K | |
| 2020 | 2,813 | $118K | |
| 2021 | 2,415 | $152K | |
| 2022 | 2,073 | $128K | |
| 2023 | 1,434 | $104K | |
| 2024incomplete | 1,184 | $96K |
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 | 32% | 5,768 | 5,574 | $252K |
| 99205 | Prolong outpt/office vis | 22% | 979 | 979 | $179K |
| 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 | 19% | 2,554 | 2,488 | $150K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 10% | 2,160 | 871 | $81K |
| 99223 | Prolong inpt eval add15 m | 8.4% | 840 | 813 | $67K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.3% | 2,392 | 934 | $66K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 46 | 42 | $768.77 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 28 | 27 | $518.63 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 32 | 30 | $470.29 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 14 | 14 | $434.29 |
| 94060 | <1% | 29 | 29 | $253.07 | |
| 90653 | 0% | 32 | 32 | $0.00 |
3 more codes
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.