THOMAS SANFORD, MD
Otolaryngology Physician · ST. LOUIS, MO
Individual Active NPI 1568489151
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 188 | 646 | $75,902 | $32,776 | $22,970 |
| 2023 | 176 | 586 | $67,794 | $37,638 | $27,073 |
| 2022 | 189 | 717 | $77,172 | $47,964 | $35,277 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 102 | $3 | $2 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 73 | $87 | $63 |
| 69210 | Removal of impacted ear wax | 62 | $45 | $30 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 52 | $63 | $41 |
| 69210 | Removal of impacted ear wax | 44 | $30 | $20 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 28 | $120 | $93 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 22 | $34 | $26 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 18 | $107 | $75 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 13 | $54 | $31 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 12 | $79 | $63 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 11 | $161 | $112 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ✓ | 109913 | MO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Otolaryngology Physician providers in Missouri
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.