Clinic
Policlinica Dra. Janice Sanchez C.S.P.
Policlinica Dra. Janice Sanchez C.S.P. was paid $3K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoPOLICLINICA DRA. JANICE SANCHEZ C.S.P.
AGUADILLA, PR 00603
AGUADILLA, PR 00603
33aNPI1902204506assigned 12/12/2014
33bProvider typePrimary Care Clinic/Center
28Total paid$3K
24GClaims7,479
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Puerto Rico
Rank by total paid#40 of 65
Median peer was paid$9K
This provider vs. median0.3×
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 | 560 | $515.38 | |
| 2019 | 332 | $647.00 | |
| 2020 | 40 | $0.00 | |
| 2021 | 250 | $0.00 | |
| 2022 | 1,766 | $79.94 | |
| 2023 | 1,738 | $990.00 | |
| 2024incomplete | 2,793 | $519.30 |
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 | 53% | 1,553 | 1,115 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 36% | 76 | 55 | $990.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.2% | 1,401 | 1,042 | $252.94 |
| 3078F | 1.8% | 1,103 | 866 | $50.00 | |
| 1126F | 0% | 603 | 456 | $0.00 | |
| 3074F | 0% | 1,039 | 814 | $0.00 | |
| 1170F | 0% | 850 | 650 | $0.00 | |
| 1125F | 0% | 219 | 158 | $0.00 | |
| 96156 | 0% | 61 | 45 | $0.00 | |
| 1157F | 0% | 120 | 98 | $0.00 | |
| 3008F | 0% | 146 | 138 | $0.00 | |
| 4010F | 0% | 123 | 91 | $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.
From NPPES
Who's on the registration
Authorized officialSANCHEZ, JANICE (PRESIDENT)