Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Roland K Sanchez MD LLC

Roland K Sanchez MD LLC was paid $922K by Medicaid between Jan 2021 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.

33Billing provider infoROLAND K SANCHEZ MD LLC
BELEN, NM 87002
33aNPI1912594060assigned 12/23/2020
28Total paid$922K
24GClaims20,796
24DCodes billed18
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in New Mexico

Rank by total paid#36 of 148
Median peer was paid$167K
This provider vs. median5.5×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20213,871$147K
20226,624$243K
20236,439$287K
2024incomplete3,862$247K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 51% 6,253 5,827 $473K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33% 4,540 4,351 $302K
S9088 Services provided in an urgent care center (list in addition to code for service) 7.5% 1,026 963 $69K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4.3% 2,321 2,205 $40K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.6% 101 99 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 290 289 $6K
90686 <1% 352 346 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 271 142 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 30 30 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,502 1,450 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 122 118 $2K
81000 <1% 176 171 $546.88
6 more codes
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 876 $521.90
90656 <1% 23 $499.90
J3490 Unclassified drugs <1% 1,183 $446.64
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,602 $233.33
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 103 $54.16
G0008 Administration of influenza virus vaccine 0% 25 $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 officialSANCHEZ, ELIA (OWNER)