Physician

Adel Sandouk, M.D.

According to 2025 Medicare claims, Adel Sandouk, M.D. (NPI: 1043315575) practices pulmonary disease in the Los Angeles-Long Beach-Glendale, CA market, with the plurality of this provider's patient population coming from Los Angeles, CA. This provider's primary affiliated billing organization is ADEL SANDOUK, M.D., INC (NPI: 1184820961; TIN: 20-8615558) and primary practice location at 91791-1069.

Sandouk's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 554 traditional Medicare patients, billed 5,037 HCPCS/CPT codes, and received $467,269 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 4,169 prescription claims across 552 beneficiaries totaling $1,050,095 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 1,707 claims. Open Payments data shows 30 records totaling $873. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $216,239 to $1,050,095. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $20,744 to $100,605.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$310K$620K2015 Medicare payment: $421,964 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $526,297 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $591,927 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $620,386 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $549,912 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $582,978 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $551,120 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $442,908 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $524,473 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $467,269 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155785,596$421,964
20166377,099$526,297
20176737,640$591,927
20186648,113$620,386
20196007,096$549,912
20205156,881$582,978
20214936,127$551,120
20225355,407$442,908
20235185,567$524,473
20245545,037$467,269

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$756K$1.5M2015 Drug cost: $216,239 (USD; Tot_Drug_Cst)2016 Drug cost: $259,739 (USD; Tot_Drug_Cst)2017 Drug cost: $364,609 (USD; Tot_Drug_Cst)2018 Drug cost: $426,935 (USD; Tot_Drug_Cst)2019 Drug cost: $472,935 (USD; Tot_Drug_Cst)2020 Drug cost: $691,980 (USD; Tot_Drug_Cst)2021 Drug cost: $785,176 (USD; Tot_Drug_Cst)2022 Drug cost: $1,243,471 (USD; Tot_Drug_Cst)2023 Drug cost: $1,512,703 (USD; Tot_Drug_Cst)2024 Drug cost: $1,050,095 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151831,724$216,239
20162011,921$259,739
20172462,344$364,609
20182852,363$426,935
20193192,399$472,935
20203362,708$691,980
20214353,043$785,176
20225384,107$1,243,471
20235544,655$1,512,703
20245524,169$1,050,095

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$48K$97K2015 Medicare payment: $22,908 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $24,584 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $27,932 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $32,362 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $55,864 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $72,934 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $48,613 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $91,519 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $96,744 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $92,080 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201595563$22,908
2016115625$24,584
201779560$27,932
2018154731$32,362
20192901,063$55,864
20203451,272$72,934
20213281,123$48,613
20225151,710$91,519
20235831,890$96,744
20245531,707$92,080

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99291Critical care, first 30-74 minutes87664$172
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes177226$142
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more281560$100
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes177561$97
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1662,282$64

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Trelegy ElliptaFluticasone/Umeclidin/Vilanter31910,560$214,234
OfevNintedanib Esylate22660$210,550
Breo ElliptaFluticasone/Vilanterol46715,360$198,306
Arnuity ElliptaFluticasone Furoate50116,575$115,484
Spiriva RespimatTiotropium Bromide1063,960$64,657

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)YN/R35$30,001
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateY30203$14,394
A7030Full face mask used with positive airway pressure device, eachN3380$6,301
A7031Face mask interface, replacement for full face mask, eachN3179$6,300
E0601Continuous positive airway pressure (cpap) deviceY35215$6,018

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.30$873Mylan Specialty L.P.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Adel Sandouk, M.D.?

Tedicare shows public-source Medicare data for Adel Sandouk, M.D. (NPI 1043315575), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Adel Sandouk, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Adel Sandouk, M.D.?

Adel Sandouk, M.D. is linked to ADEL SANDOUK, M.D., INC (billing NPI 1184820961) in the available physician profile data.

Does Adel Sandouk, M.D. have Open Payments data?

Adel Sandouk, M.D. has 30 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.