Sanchez, Mario

Sanchez, Mario was paid $112K by Medicaid between Mar 2018 and Jan 2024, across 5 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 54% of everything it billed.

33Billing provider infoSANCHEZ, MARIO
CROWN POINT, IN 46307

33aNPI1972577658assigned 02/17/2006

33bProvider typeNeonatal-Perinatal Medicine Physician

28Total paid$112K

24GClaims905

24DCodes billed5

24AFirst – last monthMar 2018 – Jan 2024

Compared with peers

Next to other Neonatal-Perinatal Medicine Physician providers in Indiana

Rank by total paid#6 of 11

Median peer was paid$112K

This provider vs. median1.0×

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	127	$8K
2019	102	$14K
2020	141	$22K
2021	510	$65K
2024incomplete	25	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99469	Subsequent inpatient neonatal critical care, per day, 28 days or younger	54%	243	55	$61K
99479	Subsequent intensive care, per day, very low birth weight infant	22%	307	57	$25K
99480	Subsequent intensive care, per day, low birth weight infant	22%	312	32	$25K
99460		<1%	19	19	$736.25
99238	Hospital discharge day management, 30 minutes or less	<1%	24	24	$701.01

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.