Physician
Sandoval-Martinez, Carlos
Sandoval-Martinez, Carlos was paid $103K by Medicaid between Jun 2021 and Dec 2024, across 6 billing codes. Its largest line is S9083, Global fee urgent care centers — 77% of everything it billed.
33Billing provider infoSANDOVAL-MARTINEZ, CARLOS
SHIPPENSBURG, PA 17257
SHIPPENSBURG, PA 17257
33aNPI1851438782assigned 01/31/2007
33bProvider typeFamily Medicine Physician
28Total paid$103K
24GClaims2,279
24DCodes billed6
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#618 of 2,756
Median peer was paid$19K
This provider vs. median5.4×
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 | |
|---|---|---|---|
| 2021 | 255 | $13K | |
| 2022 | 1,347 | $62K | |
| 2023 | 365 | $16K | |
| 2024incomplete | 312 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9083 | Global fee urgent care centers | 77% | 901 | 867 | $79K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 14% | 409 | 393 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 816 | 786 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 29 | 27 | $2K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 52 | 52 | $0.00 |
| 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 | 0% | 72 | 71 | $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.