CAROLINE SANCHEZ, M.D.
Colon & Rectal Surgery Physician · FAIRFAX, VA
Individual Active NPI 1558536789
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 246 | 539 | $336,986 | $116,226 | $90,441 |
| 2023 | 279 | 561 | $384,243 | $133,062 | $101,166 |
| 2022 | 262 | 599 | $439,755 | $155,195 | $121,848 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 46600 | Diagnostic exam of anus using an endoscope | 121 | $135 | $99 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 81 | $101 | $73 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 46 | $142 | $110 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 36 | $184 | $128 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 33 | $123 | $69 |
| 46221 | Removal of external hemorrhoids by rubber banding | 31 | $322 | $251 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 22 | $184 | $143 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 18 | $381 | $381 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 18 | $50 | $40 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 17 | $188 | $150 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 15 | $243 | $168 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 12 | $425 | $336 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | 0101251494 | VA |
| Surgery Physician | 208600000X | MD038282 | DC | |
| Surgery Physician | 208600000X | 0101251494 | VA | |
| Surgery Physician | 208600000X | D72793 | MD | |
| Colon & Rectal Surgery Physician | 208C00000X | D72793 | MD | |
| Colon & Rectal Surgery Physician | 208C00000X | MD038282 | DC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.