Sanford, Benjamin

Sanford, Benjamin was paid $55K by Medicaid between Jan 2018 and Jun 2020, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoSANFORD, BENJAMIN
STARKVILLE, MS 39759

33aNPI1629042304assigned 02/17/2006

33bProvider typeInternal Medicine Physician

28Total paid$55K

24GClaims6,469

24DCodes billed20

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Internal Medicine Physician providers in Mississippi

Rank by total paid#59 of 139

Median peer was paid$26K

This provider vs. median2.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (08/18/2022).

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	3,447	$28K
2019	2,636	$23K
2020	386	$4K

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	43%	1,382	1,233	$24K
36415	Collection of venous blood by venipuncture	8.2%	1,257	1,138	$5K
94681		7.5%	355	341	$4K
94375		6.8%	353	340	$4K
94200		6.2%	354	341	$3K
94726		5.3%	235	223	$3K
80053	Comprehensive metabolic panel	4.9%	496	478	$3K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	3.1%	629	604	$2K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	3.0%	426	395	$2K
80061	Lipid panel	2.9%	180	177	$2K
G8753	Most recent systolic blood pressure >= 140 mmhg	2.6%	204	197	$1K
83036	Hemoglobin; glycosylated (A1C)	2.2%	166	160	$1K

8 more codes

80048	Basic metabolic panel (calcium, ionized)	1.6%	187	$861.28
94150		<1%	65	$373.71
80069		<1%	39	$345.58
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	<1%	67	$332.90
90686		<1%	16	$99.91
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	16	$58.97
G0008	Administration of influenza virus vaccine	<1%	28	$43.78
G8752	Most recent systolic blood pressure < 140 mmhg	<1%	14	$24.11

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.