DERRICK SANDERSON

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · WINONA, MN

Individual Active NPI 1043577448

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	152	5,496	$380,512	$114,429	$86,949
2023	145	6,293	$376,988	$126,535	$98,078
2022	123	4,537	$245,574	$111,272	$86,187

HCPCS	Description	Services	Avg allowed	Avg paid
J0585	Injection, onabotulinumtoxina, 1 unit	4,800	$6	$5
51701	Insertion of temporary bladder tube	69	$38	$26
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	66	$83	$57
99459	Pelvic exam	60	$20	$14
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	$110	$71
52287	Exam with injections of chemical for destruction of bladder using an endoscope	38	$353	$274
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	$166	$122
81001	Manual urinalysis test with examination using microscope, automated	20	$3	$3
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	$52	$37
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	$143	$76
57265	Repair of bulging of rectum and bladder into vaginal wall	16	$549	$438
81002	Urinalysis, manual test	14	$3	$3

Specialty	Code	Primary	License	State
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	207VF0040X	✓	81662	WI
Obstetrics & Gynecology Physician	207V00000X		283330	NY
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	207VF0040X		02005887A	IN

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.