Physician

Sanford Chen, M.D.

According to 2025 Medicare claims, Sanford Chen, M.D. (NPI: 1427051994) practices ophthalmology in the Anaheim-Santa Ana-Irvine, CA market, with the plurality of this provider's patient population coming from Orange, CA. This provider's primary affiliated billing organization is ORANGE COUNTY RETINA MEDICAL GROUP (NPI: 1750398863; TIN: 33-0688181) and primary practice location at 92705-6504.

Chen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 890 traditional Medicare patients, billed 192,829 HCPCS/CPT codes, and received $3,126,298 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 329 prescription claims across 100 beneficiaries totaling $45,640 in drug costs, led by Tyrvaya (Varenicline Tartrate). Open Payments data shows 153 records totaling $176,117. 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 risen steadily, from $1,528,969 to $3,126,298. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $31,001 to $45,640. 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.

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$1.6M$3.1M2015 Medicare payment: $1,528,969 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,549,330 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,548,638 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,739,755 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $2,038,694 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,945,071 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,465,899 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,675,079 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,835,509 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $3,126,298 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201588411,438$1,528,969
201678311,315$1,549,330
201786911,492$1,548,638
201896112,121$1,739,755
201996813,826$2,038,694
202082610,399$1,945,071
202186912,734$2,465,899
202289515,641$2,675,079
202386627,671$2,835,509
2024890192,829$3,126,298

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$42K$84K2015 Drug cost: $31,001 (USD; Tot_Drug_Cst)2016 Drug cost: $30,400 (USD; Tot_Drug_Cst)2017 Drug cost: $46,475 (USD; Tot_Drug_Cst)2018 Drug cost: $64,172 (USD; Tot_Drug_Cst)2019 Drug cost: $83,943 (USD; Tot_Drug_Cst)2020 Drug cost: $73,013 (USD; Tot_Drug_Cst)2021 Drug cost: $58,430 (USD; Tot_Drug_Cst)2022 Drug cost: $57,389 (USD; Tot_Drug_Cst)2023 Drug cost: $62,501 (USD; Tot_Drug_Cst)2024 Drug cost: $45,640 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201570240$31,001
201662174$30,400
201783226$46,475
201896343$64,172
2019107459$83,943
202090334$73,013
202187316$58,430
202292331$57,389
2023109423$62,501
2024100329$45,640

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more391475$133
92014Established patient complete exam of visual system6471,733$101
67028Injection of drug into eye2651,609$95
92134Imaging of retina8792,382$33
92201Extended exam of the back part of the eye with retinal drawing8822,380$20

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
TyrvayaVarenicline Tartrate14420$9,096
ProlensaBromfenac Sodium26967$8,917
Prednisolone AcetatePrednisolone Acetate852,925$2,934
Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol19943$1,652
DifluprednateDifluprednate12442$964

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.136$43,449Astellas Pharma US Inc
Research PaymentsReported research-related payment or transfer-of-value amount.17$132,668Genentech, Inc.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Sanford Chen, M.D.?

Tedicare shows public-source Medicare data for Sanford Chen, M.D. (NPI 1427051994), 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 Sanford Chen, 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 Sanford Chen, M.D.?

Sanford Chen, M.D. is linked to ORANGE COUNTY RETINA MEDICAL GROUP (billing NPI 1750398863) in the available physician profile data.

Does Sanford Chen, M.D. have Open Payments data?

Sanford Chen, M.D. has 153 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.