Physician

Rachael N Sanchez, D.O.

According to 2025 Medicare claims, Rachael Sanchez, D.O. (NPI: 1790915064) practices addiction medicine in the Jacksonville, FL market, with the plurality of this provider's patient population coming from Duval, FL. This provider's primary affiliated billing organization is BAPTIST BEHAVIORAL HEALTH, LLC (NPI: 1215906649; TIN: 464629700) and primary practice location at 32258-2460. Sanchez is affiliated with the PBACO Holding, LLC (ACO ID: A1001), participating under the MSSP model.

Sanchez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 341 traditional Medicare patients, billed 6,484 HCPCS/CPT codes, and received $242,859 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 11,079 prescription claims across 780 beneficiaries totaling $1,086,276 in drug costs, led by Belbuca (Buprenorphine Hcl). 2023 DME data shows 20 claims. Open Payments data shows 64 records totaling $1,551. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $829 to $242,859. Similarly, Part D prescription costs have risen steadily, from $14,082 to $1,086,276. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$191K$382K2015 Medicare payment: $829 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $18,630 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $5,488 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $37,120 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $343,439 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $381,816 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $335,148 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $242,859 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151324$829
201693267$18,630
2017N/RN/RN/R
201837129$5,488
2019N/RN/RN/R
2020126439$37,120
20212934,042$343,439
20222954,903$381,816
20233464,773$335,148
20243416,484$242,859

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$666K$1.3M2015 Drug cost: $14,082 (USD; Tot_Drug_Cst)2016 Drug cost: $23,875 (USD; Tot_Drug_Cst)2017 Drug cost: $20,874 (USD; Tot_Drug_Cst)2018 Drug cost: $94,380 (USD; Tot_Drug_Cst)2019 Drug cost: $150,655 (USD; Tot_Drug_Cst)2020 Drug cost: $69,495 (USD; Tot_Drug_Cst)2021 Drug cost: $791,890 (USD; Tot_Drug_Cst)2022 Drug cost: $1,241,637 (USD; Tot_Drug_Cst)2023 Drug cost: $1,331,183 (USD; Tot_Drug_Cst)2024 Drug cost: $1,086,276 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015141336$14,082
2016169463$23,875
2017228595$20,874
20183581,182$94,380
20193361,934$150,655
2020244671$69,495
20215507,226$791,890
20225919,267$1,241,637
202372811,048$1,331,183
202478011,079$1,086,276

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$724$1.4K2019 Medicare payment: $433 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $1,448 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/R36$433
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R20$1,448
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more5658$133
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more2971,991$88
80307Testing for presence of drug, by chemistry analyzers84125$59
20553Injection of trigger points, 3 or more muscles64180$42
J1885Injection, ketorolac tromethamine, per 15 mg68765$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
BelbucaBuprenorphine Hcl2296,825$189,835
Nurtec OdtRimegepant Sulfate611,671$122,436
RelistorMethylnaltrexone Bromide391,170$101,036
BuprenorphineBuprenorphine36110,084$78,132
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen1,36139,254$57,478

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.64$1,551ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Rachael N. Sanchez, D.O.?

Tedicare shows public-source Medicare data for Rachael N. Sanchez, D.O. (NPI 1790915064), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Rachael N. Sanchez, D.O. have ACO affiliation data?

Rachael N. Sanchez, D.O. is shown with ACO affiliation data for PBACO Holding, LLC (MSSP, ACO ID A1001).

What billing organization is linked to Rachael N. Sanchez, D.O.?

Rachael N. Sanchez, D.O. is linked to BAPTIST BEHAVIORAL HEALTH, LLC (billing NPI 1215906649) in the available physician profile data.

Does Rachael N. Sanchez, D.O. have Open Payments data?

Rachael N. Sanchez, D.O. has 64 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.