npidexNPI registry + Medicare data

CARLOS SANDOVAL-MARTINEZ, MD

Family Medicine Physician · SHIPPENSBURG, PA

Individual Active NPI 1851438782

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024361634$103,147$45,124$30,261
2023300541$82,108$37,091$27,179
20226771,228$131,844$77,077$54,630

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more201$86$56
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more99$105$64
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more65$120$81
87804Detection test by immunoassay with direct visual observation for influenza virus40$15$15
71046X-ray of chest, 2 views39$30$18
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)35$41$41
81003Automated urinalysis test23$2$2
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)19$16$16
73630X-ray of foot, minimum of 3 views11$32$21

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Family Medicine Physician207Q00000X✓MD430665PA

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.