npidexNPI registry + Medicare data

RUBEN SANDOVAL, M.D.

Gastroenterology Physician · ROCKWALL, TX

Individual Active NPI 1205896164

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20241241,296$217,471$53,483$41,732
2023255693$275,911$67,878$54,106
20223012,742$462,881$137,354$106,998

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope30$89$67
45380Biopsy of large bowel using a flexible endoscope27$171$142
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more27$124$76
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes17$124$96
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare15$241$199
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more13$161$96
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more12$87$63
G0105Colorectal cancer screening; colonoscopy on individual at high risk11$175$175

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Gastroenterology Physician207RG0100X✓K0186TX

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.