CORAZON SANCHEZ, MD
NPI 1922058650, individual, Port Deposit, MD, Pediatrics
- Hours beyond a day in 1 month, but with up to 949 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 24.0 | 20.9 | 13.9 | 18.7 | 949 | 1 | 99204 99213 99214 99215 | $128K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CORAZON SANCHEZ, MD |
| Type | Individual |
| Status | Active |
| NPI issued | May 11, 2006, last updated January 21, 2022 |
| Practice location | 20 CRAIGTOWN RD STE 101, Port Deposit, MD 21904-1801, 410-642-9172 |
| Specialties | Pediatrics (208000000X, primary, license D0056807 MD) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $2.3M | 26% | $84 | $44 (top 5% from $110) | 90th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $2.3M | 26% | $104 | $60 (top 5% from $133) | 87th percentile | |
| 99391 | Medicaid service code | $614K | 7% | $90 | $76 (top 5% from $126) | 70th percentile | |
| 99392 | Medicaid service code | $607K | 7% | $90 | $78 (top 5% from $124) | 68th percentile | |
| 99393 | Medicaid service code | $442K | 5% | $85 | $78 (top 5% from $121) | 63rd percentile | |
| 99394 | Medicaid service code | $356K | 4% | $96 | $83 (top 5% from $128) | 70th percentile | |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | $151K | 2% | $45 | $32 (top 5% from $49) | 89th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $147K | 2% | $135 | $95 (top 5% from $171) | 81st percentile |
In this area
2 providers in Cecil County, MD carry an indicator in the public record, with $301K at stake between them. The most common is more hours than a day holds, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | MUHAMMED NIAZ Elkton, MD, ranked 7997 | $294K |
|
| 4 | JOHN THOMAS Rising Sun, MD, ranked 9753 | $6K |
|
Recent enforcement in MD
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Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.