CARLOS SANCHEZ, DO
Family Medicine Physician · NEWARK, NJ
Individual Active NPI 1255624896
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 626 | 1,361 | $191,220 | $159,503 | $124,153 |
| 2023 | 260 | 724 | $103,314 | $84,452 | $67,056 |
| 2022 | 122 | 238 | $38,901 | $18,075 | $16,086 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 832 | $115 | $91 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 130 | $194 | $152 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 76 | $101 | $63 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 65 | $142 | $114 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 48 | $136 | $108 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 31 | $66 | $66 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 20 | $80 | $64 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 17 | $126 | $61 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 13 | $82 | $65 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 275285 | NY |
| Family Medicine Physician | 207Q00000X | 25MB09378700 | NJ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Family Medicine Physician providers in New Jersey
- NPI 1932882016
- NPI 1962190645
- NPI 1386401263
- NPI 1376660068
- NPI 1780796193
- NPI 1376686568
- NPI 1770221749
- NPI 1255878468
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.