Physician

Jeffrey S Sanders, MD

According to 2025 Medicare claims, Jeffrey Sanders, MD (NPI: 1790898146) practices urology in the Waco, TX market, with the plurality of this provider's patient population coming from Mc Lennan, TX. This provider's primary affiliated billing organization is PROVIDENCE HEALTH ALLIANCE (NPI: 1932210838; TIN: 742696970) and primary practice location at 76710-5592. Sanders is affiliated with the Caravan Health ACO 50 LLC (ACO ID: A5160) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Sanders' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 736 traditional Medicare patients, billed 4,497 HCPCS/CPT codes, and received $212,720 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 2,836 prescription claims across 672 beneficiaries totaling $311,878 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 97 claims. Open Payments data shows 1 records totaling $124. 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 from a lower plateau to a higher plateau, from $124,622 to $311,878. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $833 to $568.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	943	11,215	$296,373
2016	902	7,400	$307,133
2017	1,009	7,468	$315,393
2018	981	8,556	$267,042
2019	912	7,620	$255,704
2020	834	4,161	$219,783
2021	765	4,261	$216,462
2022	791	4,850	$235,026
2023	728	4,153	$222,027
2024	736	4,497	$212,720

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	430	1,959	$124,622
2016	412	2,062	$143,140
2017	532	2,075	$130,137
2018	552	2,422	$125,199
2019	562	2,718	$295,653
2020	537	2,398	$283,923
2021	537	2,386	$544,969
2022	596	2,494	$603,606
2023	645	2,814	$304,176
2024	672	2,836	$311,878

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	128	$41,735
2016	N/R	91	$29,541
2017	N/R	158	$30,192
2018	N/R	162	$46,035
2019	N/R	68	$3,268
2020	N/R	86	$10,542
2021	N/R	65	$5,764
2022	N/R	53	$5,022
2023	N/R	42	$6,798
2024	N/R	97	$38,507

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	120	120	$112
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	578	838	$83
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	464	597	$12
51798	Ultrasound measurement of bladder capacity after voiding	645	1,016	$7
81003	Automated urinalysis test	637	995	$2

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	33	1,710	$25,419
Tamsulosin Hcl	Tamsulosin Hcl	502	31,557	$8,099
Mirabegron Er	Mirabegron	12	600	$6,476
Ertapenem	Ertapenem Sodium	12	115	$6,147
Solifenacin Succinate	Solifenacin Succinate	212	11,700	$6,133

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
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	29	$30,544
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	23	$6,983
A4332	Lubricant, individual sterile packet, each	N	N/R	15	$377
A4344	Indwelling catheter, foley type, two-way, all silicone or polyurethane, each	N	N/R	12	$320
A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	N	N/R	18	$283

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$124	Astellas Pharma US 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 Jeffrey S. Sanders, MD?

Tedicare shows public-source Medicare data for Jeffrey S. Sanders, MD (NPI 1790898146), 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 Jeffrey S. Sanders, MD have ACO affiliation data?

Jeffrey S. Sanders, MD is shown with ACO affiliation data for Caravan Health ACO 50 LLC (MSSP, ACO ID A5160) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Jeffrey S. Sanders, MD?

Jeffrey S. Sanders, MD is linked to PROVIDENCE HEALTH ALLIANCE (billing NPI 1932210838) in the available physician profile data.

Does Jeffrey S. Sanders, MD have Open Payments data?

Jeffrey S. Sanders, MD has 1 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.