MICHAEL SANDERS, D.O.
Internal Medicine Physician · HI HAT, KY
Individual Active NPI 1942301213
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 707 | 25,230 | $2,240,060 | $1,857,859 | $1,473,288 |
| 2023 | 271 | 2,540 | $264,599 | $196,142 | $155,015 |
| 2022 | 82 | 591 | $74,580 | $33,055 | $25,305 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 18,369 | $67 | $54 |
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 2,679 | $125 | $99 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,228 | $118 | $92 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 989 | $15 | $12 |
| 99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 576 | $52 | $41 |
| 99497 | Advance care planning, first 30 minutes | 372 | $76 | $59 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 268 | $45 | $34 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 253 | $59 | $45 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 225 | $84 | $65 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 61 | $120 | $91 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 54 | $72 | $56 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 28 | $49 | $33 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | 03262 | KY |
| Internal Medicine Physician | 207R00000X | 1053 | SC | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 03262 | KY | |
| Internal Medicine Physician | 207R00000X | 93156 | GA | |
| Pulmonary Disease Physician | 207RP1001X | 03262 | KY |
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.