BENJAMIN F. SANFORD, M.D.
NPI 1629042304, individual, Starkville, MS, Internal Medicine
- Listed on the Medicare revocation list since January 26, 2021.
- Medicaid still paid claims in 3 later months, $5,278 in total.
Public list actions
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | Jan 26, 2021 | Jan 26, 2031 | 3 | Feb 2021 | Apr 2021 | $5K | $8K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BENJAMIN F. SANFORD, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | February 17, 2006, last updated April 22, 2009 |
| Practice location | 107 BRANDON RD, Starkville, MS 39759-2521, 662-324-1291 |
| Specialties | Internal Medicine (207R00000X, primary, license 8043 MS) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $24K | 36% | $20 | $44 (top 5% from $110) | 16th percentile | |
| 99283 | Emergency department visit with low level of medical decision making | $8K | 11% | $49 | $60 (top 5% from $193) | 37th percentile | |
| 36415 | Insertion of needle into vein for collection of blood sample | $5K | 7% | $4.00 | $1.97 (top 5% from $12) | 82nd percentile | |
| 94681 | Test to measure exhaled air and carbon dioxide for evaluation of lung function | $4K | 6% | $12 | too few months to rank | ||
| 94375 | Test to measure rate of airflow | $4K | 6% | $11 | $22 (top 5% from $69) | 22nd percentile | |
| 94200 | Test to measure largest amount of air breathed in an out | $3K | 5% | $10.00 | $8.36 (top 5% from $35) | 59th percentile | |
| 99284 | Emergency department visit with moderate level of medical decision making | $3K | 5% | $74 | $86 (top 5% from $224) | too few months to rank | |
| 94726 | Test to determine lung volumes using sensors | $3K | 4% | $13 | $14 (top 5% from $75) | 47th percentile |
In this area
2 providers in Oktibbeha County, MS carry an indicator in the public record, with $491K at stake between them. The most common is more hours than a day holds, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | CATHERINE FANDEL Starkville, MS, ranked 9371 | $283K |
|
| 4 | KAREN ROBERSON Starkville, MS, ranked 9462 | $207K |
|
Recent enforcement in MS
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.