ANTHONY SANDOVAL, MD
Cardiovascular Disease Physician · FLAGSTAFF, AZ
Individual Active NPI 1811994429
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 452 | 1,865 | $387,902 | $158,433 | $119,110 |
| 2023 | 326 | 1,061 | $242,263 | $92,905 | $73,220 |
| 2022 | 538 | 3,120 | $565,313 | $224,963 | $159,748 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 372 | $130 | $90 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 306 | $15 | $10 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 206 | $121 | $97 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 67 | $24 | $18 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 62 | $70 | $56 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 58 | $8 | $6 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 53 | $176 | $134 |
| J2785 | Injection, regadenoson, 0.1 mg | 44 | $5 | $4 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 38 | $170 | $107 |
| 36415 | Insertion of needle into vein for collection of blood sample | 37 | $9 | $9 |
| 80053 | Blood test, comprehensive group of blood chemicals | 34 | $10 | $10 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 33 | $201 | $154 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ✓ | 21578 | AZ |
| Interventional Cardiology Physician | 207RI0011X | 21578 | AZ | |
| Cardiovascular Disease Physician | 207RC0000X | CDR.0005272 | CO |
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.