Timothy Sandmann — Billing Profile & Reimbursement Data
NPI 1346233848 · Sherman, TX · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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Timothy Sandmann is a urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician provider located in Sherman, Texas. This profile covers 26 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Timothy Sandmann |
| Address | 260 E Evergreen St |
| City | Sherman |
| State | TX |
| ZIP | 75090 |
| Taxonomy | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician |
| NPI Enumerated | August 30, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $157.7K |
| Medicaid | $0 |
Medicare: Total Revenue Breakdown by CPT/HCPCS Code
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
Medicare: Complete Services Breakdown
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
26 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 51729 | In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive… | 90 | $290 | $24.9K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 340 | $60 | $20.6K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 3,600 | $10 | $18K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 130 | $110 | $13.5K |
| 51797 | Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine. | 90 | $150 | $12.5K |
| 52287 | The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the… | 40 | $290 | $10.2K |
| 58260 | In this procedure, the provider surgically removes the uterus and cervix only using a vaginal approach, known as a vaginal hysterectomy. The uterus is normal in size, which means it weighs 250 g or… | 10 | $630 | $8.9K |
| 91120 | N/A | 20 | $390 | $7.3K |
| 57282 | The surgeon in this procedure performs a colpopexy, which is the suspension of the vaginal apex via a vaginal approach using the extraperitoneal technique. This procedure, also known as vault repair,… | 20 | $420 | $6.7K |
| 57260 | The provider repairs the vaginal tissues over the weakened spots to support the area and return the bladder and rectum to their correct positions. This is a vaginal approach procedure. The provider… | 10 | $450 | $6.3K |
Showing 1–10 of 26
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
26 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0585 | 158 | 200 | 7,900 | $1 | $56.4K |
| 99214 | 22,883 | 32,500 | 110 | $80 | $17.6K |
| 52000 | 578 | 600 | 60 | $160 | $12K |
| 52287 | 20 | 70 | 30 | $300 | $11.4K |
| 51729 | 6 | 60 | 30 | $280 | $10.2K |
| 57282 | 2 | 10 | 10 | $700 | $9.7K |
| 58260 | 1 | 10 | 10 | $630 | $8.9K |
| 99213 | 3,144 | 29,790 | 70 | $60 | $8.4K |
| 57283 | 6 | 10 | 20 | $250 | $7.7K |
| 91122 | 20 | 30 | 30 | $170 | $6.6K |
Showing 1–10 of 26
Nearby Providers
Other providers in the same ZIP code as Timothy Sandmann, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Aoc Tx, LLC | TX | Home Health Agency | $0 | $708M |
| Quality Home Health Care, Inc. | TX | Home Health Agency | $0 | $12.8M |
| Advanced Laboratory Services LLC | TX | Clinical Medical Laboratory | $441.4K | $736.6K |
| Andrew Bossen | TX | Ophthalmology Physician | $1M | $0 |
| Nikhil Joshi | TX | Interventional Cardiology Physician | $973.7K | $0 |
| Vijay Khetpal | TX | Ophthalmology Physician | $945.4K | $0 |
| North Texas Surgery Center, LLC | TX | Ambulatory Surgical Clinic/Center | $883.6K | $0 |
| Roy Lehman | TX | Ophthalmology Physician | $697.6K | $0 |
| William Plauche | TX | Ophthalmology Physician | $631.2K | $0 |
| Aditi Swami | TX | Infectious Disease Physician | $627.3K | $0 |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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