Physician

Gustavo H Sandigo, MD

According to 2025 Medicare claims, Gustavo Sandigo, MD (NPI: 1174571624) practices family practice in the Victoria, TX market, with the plurality of this provider's patient population coming from Victoria, TX. This provider's primary affiliated billing organization is SLEEP & FAMILY MEDICINE LLP (NPI: 1649512799; TIN: 462321119) and primary practice location at 77904-3111. Sandigo is affiliated with the CHSPSC ACO 14, LLC (ACO ID: A3724), The Rural Advantage LLC (ACO ID: A5257), Main Street Rural Health Hickory ACO LLC (ACO ID: A5334), Main Street Rural Health Magnolia ACO LLC (ACO ID: A5400), and Main Street Rural Health Cottonwood ACO LLC (ACO ID: A5439), participating under the MSSP model.

Sandigo's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 514 traditional Medicare patients, billed 2,898 HCPCS/CPT codes, and received $178,261 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 20,219 prescription claims across 988 beneficiaries totaling $2,082,564 in drug costs, led by Ozempic (Semaglutide). DME data shows 1,461 claims. Open Payments data shows 129 records totaling $1,818. 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 declined steadily, from $266,247 to $178,261. In contrast, Part D prescription costs have risen steadily, from $956,215 to $2,082,564. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $94,454 and ending at $75,159.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	606	5,173	$266,247
2016	561	5,405	$293,725
2017	660	5,113	$274,543
2018	793	5,723	$347,670
2019	839	5,027	$304,313
2020	702	3,680	$215,807
2021	650	3,213	$326,556
2022	558	2,628	$173,781
2023	541	2,135	$142,169
2024	514	2,898	$178,261

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	631	14,255	$956,215
2016	599	14,771	$1,093,963
2017	675	15,533	$1,176,317
2018	727	15,846	$1,399,158
2019	769	15,878	$1,431,617
2020	776	16,367	$1,623,096
2021	858	17,248	$1,857,402
2022	863	17,644	$2,041,930
2023	964	19,737	$2,724,445
2024	988	20,219	$2,082,564

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	803	2,032	$98,420
2016	624	1,776	$58,178
2017	615	1,664	$45,078
2018	615	1,815	$48,890
2019	583	1,495	$42,647
2020	585	1,537	$56,988
2021	514	1,520	$62,499
2022	476	1,353	$76,956
2023	435	1,399	$74,814
2024	502	1,461	$70,050

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	118	118	$126
95811	Sleep study in sleep lab with continuous airway pressure (6 years or older)	108	116	$93
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	295	868	$83
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	214	660	$45
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	139	260	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	470	14,874	$492,076
Farxiga	Dapagliflozin Propanediol	406	17,225	$319,815
Eliquis	Apixaban	209	6,962	$134,282
Mounjaro	Tirzepatide	82	2,584	$95,906
Januvia	Sitagliptin Phosphate	93	5,340	$90,891

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A7031	Face mask interface, replacement for full face mask, each	N	40	122	$10,538
A7030	Full face mask used with positive airway pressure device, each	N	40	108	$9,481
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	23	$7,750
A7032	Cushion for use on nasal mask interface, replacement only, each	N	23	65	$6,265
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	39	103	$5,563

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	129	$1,818	Novo Nordisk Inc
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Gustavo H. Sandigo, MD?

Tedicare shows public-source Medicare data for Gustavo H. Sandigo, MD (NPI 1174571624), 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 Gustavo H. Sandigo, MD have ACO affiliation data?

Gustavo H. Sandigo, MD is shown with ACO affiliation data for CHSPSC ACO 14, LLC (MSSP, ACO ID A3724), The Rural Advantage LLC (MSSP, ACO ID A5257), Main Street Rural Health Hickory ACO LLC (MSSP, ACO ID A5334), Main Street Rural Health Magnolia ACO LLC (MSSP, ACO ID A5400), and Main Street Rural Health Cottonwood ACO LLC (MSSP, ACO ID A5439).

What billing organization is linked to Gustavo H. Sandigo, MD?

Gustavo H. Sandigo, MD is linked to SLEEP & FAMILY MEDICINE LLP (billing NPI 1649512799) in the available physician profile data.

Does Gustavo H. Sandigo, MD have Open Payments data?

Gustavo H. Sandigo, MD has 129 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.