Physician

Michael K Sanders, MD

According to 2025 Medicare claims, Michael Sanders, MD (NPI: 1275554636) practices gastroenterology in the Mobile, AL market, with the plurality of this provider's patient population coming from Mobile, AL. This provider's primary affiliated billing organization is GUT PC (NPI: 1073566006; TIN: 20-2904686) and primary practice location at 36608-1263. Sanders is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), participating under the MSSP model.

Sanders' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 632 traditional Medicare patients, billed 5,417 HCPCS/CPT codes, and received $210,926 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 4,587 prescription claims across 1,305 beneficiaries totaling $1,830,512 in drug costs, led by Stelara (Ustekinumab). DME data shows 180 claims. Open Payments data shows 61 records totaling $1,101. 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 $164,621 to $1,830,512. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	701	4,475	$204,188
2016	795	6,184	$225,333
2017	643	7,230	$186,941
2018	683	6,065	$206,968
2019	629	12,467	$189,778
2020	556	5,348	$167,069
2021	538	3,260	$159,375
2022	629	3,352	$204,083
2023	626	5,242	$207,357
2024	632	5,417	$210,926

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	502	1,577	$164,621
2016	531	1,821	$226,516
2017	627	2,220	$410,612
2018	645	2,337	$535,357
2019	647	2,412	$535,957
2020	643	2,282	$663,601
2021	697	2,393	$802,349
2022	900	2,933	$1,160,593
2023	1,074	3,523	$1,691,132
2024	1,305	4,587	$1,830,512

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	14	$1,225
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	89	$53,285
2024	N/R	180	$126,766

* / # = 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
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	102	104	$181
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	183	183	$104
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	379	$88
45380	Biopsy of large bowel using a flexible endoscope	76	76	$70
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	143	149	$43

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Stelara	Ustekinumab	23	1,260	$638,762
Linzess	Linaclotide	142	8,760	$154,396
Entyvio	Vedolizumab	13	728	$115,768
Remicade	Infliximab	12	672	$96,959
Xifaxan	Rifaximin	32	698	$86,177

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
B4197	Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix	N	N/R	45	$96,861
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	N	N/R	45	$18,662
B4224	Parenteral nutrition administration kit, per day	N	N/R	45	$8,471
B4220	Parenteral nutrition supply kit; premix, per day	N	N/R	45	$2,772

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	61	$1,101	ABBVIE 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 Michael K. Sanders, MD?

Tedicare shows public-source Medicare data for Michael K. Sanders, MD (NPI 1275554636), 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 Michael K. Sanders, MD have ACO affiliation data?

Michael K. Sanders, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604).

What billing organization is linked to Michael K. Sanders, MD?

Michael K. Sanders, MD is linked to GUT PC (billing NPI 1073566006) in the available physician profile data.

Does Michael K. Sanders, MD have Open Payments data?

Michael K. Sanders, MD has 61 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.