Sandercock, Donald

Sandercock, Donald was paid $98K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.

33Billing provider infoSANDERCOCK, DONALD
LENOIR CITY, TN 37772

33aNPI1891776068assigned 11/07/2005

33bProvider typeOrthopaedic Surgery Physician

28Total paid$98K

24GClaims3,422

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Tennessee

Rank by total paid#28 of 75

Median peer was paid$42K

This provider vs. median2.3×

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	421	$9K
2019	476	$9K
2020	367	$9K
2021	605	$19K
2022	468	$14K
2023	643	$20K
2024incomplete	442	$18K

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	67%	2,588	2,091	$66K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	26%	674	601	$26K
99243		5.3%	67	66	$5K
20610		<1%	28	25	$792.22
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	<1%	31	27	$725.65
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	34	24	$249.99

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.