Physician
Jose T Sandoval MD PA
Jose T Sandoval MD PA was paid $17K by Medicaid between Jan 2018 and Aug 2019, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoJOSE T SANDOVAL MD PA
DONNA, TX 78537
DONNA, TX 78537
33aNPI1346440047assigned 07/20/2007
33bProvider typeFamily Medicine Physician
28Total paid$17K
24GClaims2,758
24DCodes billed25
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#704 of 1,204
Median peer was paid$31K
This provider vs. median0.5×
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 | 2,143 | $9K | |
| 2019 | 615 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 798 | 658 | $8K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 49% | 213 | 202 | $8K |
| 81000 | <1% | 100 | 96 | $10.95 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 243 | 202 | $0.00 |
| 3288F | 0% | 99 | 99 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 396 | 324 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 35 | 35 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 129 | 125 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 18 | 18 | $0.00 |
| 82570 | 0% | 20 | 20 | $0.00 | |
| 1100F | 0% | 48 | 48 | $0.00 | |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 43 | 42 | $0.00 |
13 more codes
| 96118 | 0% | 16 | $0.00 | |
| 4040F | 0% | 73 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 50 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 98 | $0.00 |
| 1101F | 0% | 59 | $0.00 | |
| 82044 | 0% | 20 | $0.00 | |
| 93000 | 0% | 12 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 36 | $0.00 |
| 1170F | 0% | 37 | $0.00 | |
| 1036F | 0% | 133 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 29 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 36 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 17 | $0.00 |
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 officialNAVA, NORMA (OFFICE MANAGER)