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PROVIDER PROFILE · NPI 1427123033

Phillip SandovalMD

PRACTICESURGICAL SPECIALTY CARE, LLCSee all providers at this practice →
Internal MedicineAlbuquerque, NMI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
2,267
Beneficiaries
—
Total drug cost
$164K
Distinct drugs
65
Brand share
17.9%
Top prescribed drugs
Oxycodone Hcl159 claims
Levothyroxine Sodium148 claims
Amlodipine Besylate117 claims
Gabapentin111 claims
Tramadol Hcl93 claims
QUALITY · MIPS · 2024
Final MIPS score
89.6
Quality
75.5
Cost
76.9
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.62%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Phillip Sandoval's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 12 inbound referrers · 14 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
TRICORE REFERENCE LABORATORIES1681,566
PRESBYTERIAN HEALTHCARE SERVICES61298
Glen Wilson
Diagnostic Radiology · Albuquerque, NM
60249
Annette Fontaine
Hematology-Oncology · Albuquerque, NM
56591
GIUDICE, RICHARD52331
Govardhanan Nagaiah
Hematology-Oncology · Goodyear, AZ
33268
CAZZOLA, EDWARD23243
Boris Naraev
Medical Oncology · Tampa, FL
20227
LOVELACE HEALTH SYSTEM LLC1556
Douglas Clark
Internal Medicine · Albuquerque, NM
1570
Gregg Franklin
Radiation Oncology · Albuquerque, NM
14186
PRESBYTERIAN HEALTHCARE SERVICES1138
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
TRICORE REFERENCE LABORATORIES96891
PRESBYTERIAN HEALTHCARE SERVICES58312
Jose Avitia
Medical Oncology · Albuquerque, NM
53518
Annette Fontaine
Hematology-Oncology · Albuquerque, NM
51439
GIUDICE, RICHARD47387
Glen Wilson
Diagnostic Radiology · Albuquerque, NM
45153
Govardhanan Nagaiah
Hematology-Oncology · Goodyear, AZ
36261
HASKINS, CLARK36262
Barbara Mcaneny
Medical Oncology · Albuquerque, NM
2182
CAZZOLA, EDWARD2093
Boris Naraev
Medical Oncology · Tampa, FL
20159
Bernalillo County Health Care Corporation
Ambulance Service Provider · Albuquerque, NM
1448
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
166
Unique beneficiaries
—
Total services
309
Distinct HCPCS
3
Medicare payment
$21K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 451 Internal Medicine providers in NM — below median (cohort median 364).