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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Sanford
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    Michael Sanford — Billing Profile & Reimbursement Data

    NPI 1669660411 · Rancho Mirage, CA · Urology Physician

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    Michael Sanford is a urology physician provider located in Rancho Mirage, California. This profile covers 28 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
    OrganizationMichael Sanford
    Address39000 Bob Hope Dr
    CityRancho Mirage
    StateCA
    ZIP92270
    TaxonomyUrology Physician
    NPI EnumeratedOctober 5, 2007

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

    Payer SourceTotal Paid
    Medicare$208.9K
    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,030$80$78.6K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…350$60$21.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…170$110$19.4K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.40$470$17.7K
    99204The 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…100$100$9.9K
    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…170$50$8.9K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…30$310$7.8K
    52235The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…20$220$4.5K
    55700Code deleted December 31, 2025.40$100$4.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$140$4.1K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5231741010$720$34.5K
    52224203020$600$28.9K
    9923310,40611,530120$100$26.2K
    992141,47337,970120$90$23.2K
    5172810517030$310$18.2K
    50590128020$780$17.9K
    522817611020$310$17.2K
    992329,95412,28090$70$16.3K
    52000572070$180$16K
    992152,54815,36050$130$14.4K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eisenhower Medical CenterCAGeneral Acute Care Hospital$0$98M
    Unlv MedicineNVInternal Medicine Physician$0$22M
    Bachir YounesCAInfectious Disease Physician$2.5M$0
    Trevor DerderianCAVascular Surgery Physician$1.3M$0
    Lee ErlendsonCAAnesthesiology Physician$1.1M$0
    Majid TorabiCASpecialist$330K$487.5K
    Eric SontzCACardiovascular Disease Physician$782.4K$0
    Praveen PanguluriCAInterventional Cardiology Physician$631.1K$0
    Philip PatelCACardiovascular Disease Physician$601.1K$0
    Chanaka WickramasingheCACardiovascular Disease Physician$596.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tobias Moeller-bertram Md CorporationCAPain Medicine (Anesthesiology) Physician$0$49.2M
    Tobias Moeller-bertram, Md Corporation Desert Clinic Pain InstituteCAPain Medicine Physician$0$47.2M
    Empire Vein & Vascular SpecialistsCAVascular Surgery Physician$0$32M
    Luke DreisbachCAHematology & Oncology Physician$9.8M$0
    Amy LawCAHematology & Oncology Physician$4M$0
    Mark CarmichaelCAHematology & Oncology Physician$3.1M$0
    Mirage Endoscopy Center, L.P.CAAmbulatory Surgical Clinic/Center$1.6M$1M
    Camille HarrisonCAOphthalmology Physician$2.4M$0
    Timothy JochenCAProcedural Dermatology Physician$2.3M$0
    Rupinder MannCAGeriatric Medicine (Internal Medicine) Physician$1M$831K

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Michael Sanford — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California