Alfredo Sardinas MD PA

Alfredo Sardinas MD PA was paid $129K by Medicaid between Mar 2020 and May 2024, across 17 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 50% of everything it billed.

33Billing provider infoALFREDO SARDINAS MD PA
HOUSTON, TX 77008

33aNPI1447330097assigned 10/17/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$129K

24GClaims4,435

24DCodes billed17

24AFirst – last monthMar 2020 – May 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Texas

Rank by total paid#15 of 105

Median peer was paid$11K

This provider vs. median11×

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
2020	433	$11K
2021	1,244	$38K
2022	1,009	$28K
2023	1,642	$48K
2024incomplete	107	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	50%	1,279	378	$64K
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	21%	735	533	$27K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	13%	1,141	341	$17K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	7.9%	222	162	$10K
99205	Prolong outpt/office vis	2.6%	60	50	$3K
97032		2.1%	680	214	$3K
97162		<1%	13	13	$875.63
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%	64	53	$770.00
92546		<1%	15	12	$580.57
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	15	13	$525.86
92540		<1%	15	12	$521.24
99358	Prolong nursin fac eval 15m	<1%	91	71	$371.84

5 more codes

92547		<1%	15	$33.67
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	0%	12	$0.00
G0444	Annual depression screening, 5 to 15 minutes	0%	42	$0.00
99354		0%	19	$0.00
97116		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 officialSARDINAS, ALFREDO (OWNER/PHYSICIAN)

Same official

Other billing entities under SARDINAS, ALFREDO

Full network →

Provider	Location	Paid
Alfredo Sardinas JR MD PA	Houston, TX	$9K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.