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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSybil Sandoval
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    Sybil Sandoval — Billing Profile & Reimbursement Data

    NPI 1407833106 · Avon, CT · Internal Medicine Physician

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    Sybil Sandoval is a internal medicine physician provider located in Avon, Connecticut. This profile covers 9 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSybil Sandoval
    Address44 Dale Rd
    CityAvon
    StateCT
    ZIP06001
    TaxonomyInternal Medicine Physician
    NPI EnumeratedDecember 23, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$71.1K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…80$280$21.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit140$140$18.8K
    99213The 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…300$60$18.7K
    99214The provider sees an established 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…60$100$5.8K
    G0009Administration of pneumococcal vaccine80$30$2.5K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…40$30$1.3K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…110$10$1.1K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…10$80$840
    G0008Administration of influenza virus vaccine10$30$360

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,1216,48090$90$14.2K
    G04392061,51060$130$10K
    992136186,44070$60$8.1K
    90677866020$280$6.2K
    9069476579040$70$5.7K
    G00081,6861,73040$30$2.4K
    992124471,34030$40$2.2K
    930004111,55040$10$1.3K
    G0009976020$30$640

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Sybil Sandoval, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prime Healthcare, PCCTInternal Medicine Physician$0$4.3M
    NPI 1457647281——$306.9K$0
    Sarah YiznitskyCTFamily Nurse Practitioner$171.6K$0
    Hollie SmithCTAdult Health Nurse Practitioner$159.4K$0
    Tapas BandyopadhyayCTPulmonary Disease Physician$149.1K$0
    G TronoCTUrology Physician$144K$0
    William PreskenisCTPulmonary Disease Physician$133.6K$0
    Janine WilcoxCTGerontology Nurse Practitioner$131.8K$0
    Patrene RhodenCTNurse Practitioner$125.5K$0
    Leeanne Shaw-quinnCTGerontology Nurse Practitioner$125K$0

    Nearby Providers

    Other providers in the same ZIP code as Sybil Sandoval, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hartford Healthcare Urgent Care Centers, LLCCTUrgent Care Clinic/Center$0$23.4M
    Behavioral Health Consulting Services LLCCTProfessional Counselor$0$4.9M
    Harvest Healthcare LLCCTClinical Social Worker$0$2.5M
    Michael ShiembobCTOptometrist$8.7K$1.7M
    Creative Development, LLCCTSpecialist$0$1.2M
    Yousong WangCTGeneral Practice Physician$861.3K$0
    Sadaf WaqarCTDermatology Physician$652.8K$0
    Evan SchiffCTInternal Medicine Physician$204K$0
    Savitha ChandramohanCTPsychiatric/Mental Health Nurse Practitioner$170.1K$0
    Connecticut Cvs Pharmacy, L.L.C.CTPharmacy$164.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Connecticut Distribution
    Sybil Sandoval — 2 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut