Physician
Alfredo Sardinas JR MD PA
Alfredo Sardinas JR MD PA was paid $9K by Medicaid between Aug 2021 and Nov 2023, across 2 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 99% of everything it billed.
33Billing provider infoALFREDO SARDINAS JR MD PA
HOUSTON, TX 77008
HOUSTON, TX 77008
33aNPI1407499494assigned 10/22/2019
33bProvider typeRheumatology Physician
28Total paid$9K
24GClaims325
24DCodes billed2
24AFirst – last monthAug 2021 – Nov 2023
Compared with peers
Next to other Rheumatology Physician providers in Texas
Rank by total paid#28 of 45
Median peer was paid$12K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2021 | 25 | $1K | |
| 2022 | 99 | $3K | |
| 2023 | 201 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 99% | 195 | 187 | $9K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 130 | 124 | $83.16 |
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 officialSARDINAS, ALFREDO (CEO)
| Provider | Location | Paid |
|---|---|---|
| Alfredo Sardinas MD PA | Houston, TX | $129K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.