David G. Sanford, M.D., P.S.C.

David G. Sanford, M.D., P.S.C. was paid $9K by Medicaid between Feb 2018 and Dec 2021, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 41% of everything it billed.

33Billing provider infoDAVID G. SANFORD, M.D., P.S.C.
MIDDLESBORO, KY 40965

33aNPI1285740951assigned 08/22/2006

33bProvider typeOphthalmology Physician

28Total paid$9K

24GClaims873

24DCodes billed5

24AFirst – last monthFeb 2018 – Dec 2021

Compared with peers

Next to other Ophthalmology Physician providers in Kentucky

Rank by total paid#66 of 110

Median peer was paid$15K

This provider vs. median0.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	296	$4K
2019	76	$1K
2020	277	$3K
2021	224	$664.69

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	41%	170	117	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	32%	317	207	$3K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	24%	273	175	$2K
92015	Determination of refractive state	2.1%	97	64	$189.76
76519		<1%	16	12	$65.17

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSANFORD, DAVID (OWNER)