Sanford, Thomas

Sanford, Thomas was paid $32K by Medicaid between Jan 2018 and Jul 2020, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.

33Billing provider infoSANFORD, THOMAS
ST. LOUIS, MO 63104

33aNPI1568489151assigned 07/17/2006

33bProvider typeOtolaryngology Physician

28Total paid$32K

24GClaims691

24DCodes billed4

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Otolaryngology Physician providers in Missouri

Rank by total paid#20 of 53

Median peer was paid$17K

This provider vs. median1.9×

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	254	$12K
2019	329	$14K
2020	108	$6K

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	78%	598	577	$25K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.4%	38	38	$3K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	8.2%	13	13	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	5.5%	42	41	$2K

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.