Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Edward Sanchez (NPI 1861751117)

Field	Value
Entity Type	Individual
Organization	Edward Sanchez
Address	17189 I-45, Mob Ii, Ste 305
City	Shenandoah
State	TX
ZIP	77385
Taxonomy	Urology Physician
NPI Enumerated	May 7, 2012

Payer Source	Total Paid
Medicare	$298.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	670	$90	$60K
52442	In this add–on procedure, the provider uses a cystourethroscope to place an additional permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.	80	$670	$53.9K
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	90	$290	$25.1K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	130	$170	$22.1K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	550	$30	$18.6K
64561	The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.	30	$600	$17.9K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	150	$110	$16.7K
52441	Using a cystourethroscope, the provider places a single permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.	20	$990	$14.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	200	$60	$12.3K
51729	In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…	20	$310	$6.7K

Showing 1–10 of 36

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Edward Sanchez — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

36 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87798	168	300	790	$30	$265.1K
G6015	175	240	280	$280	$157K
64590	36	60	20	$6,710	$134.3K
87652	11	20	40	$40	$73.5K
64561	16	40	30	$2,040	$73.3K
87481	232	270	150	$30	$68.8K
52442	14	30	70	$400	$35.7K
87799	19	30	200	$40	$31.8K
87640	165	250	70	$30	$25.9K
87653	153	230	70	$30	$24K

Showing 1–10 of 36

Nearby Providers

Other providers in the same ZIP code as Edward Sanchez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ankur Khosla	TX	Interventional Pain Medicine Physician	$653.3K	$0
Conroe Asc, LP	TX	Ambulatory Surgical Clinic/Center	$467.3K	$0
Ali Rizvi	TX	Interventional Cardiology Physician	$410K	$0
Andrea Pallais	TX	Physical Therapist	$403.4K	$0
Rajesh Venkataraman	TX	Clinical Cardiac Electrophysiology Physician	$368.1K	$0
Nhan Nguyen	TX	MOHS-Micrographic Surgery Physician	$358.5K	$0
Christopher Brown	TX	Physical Therapist	$347.2K	$0
Thomas Loh	TX	Vascular Surgery Physician	$282K	$0
Pratap Agusala	TX	Interventional Cardiology Physician	$260.8K	$0
John Fackler	TX	Orthopaedic Surgery Physician	$194.9K	$0

Edward Sanchez — Billing Profile & Reimbursement Data

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Edward Sanchez — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References