Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $156.08 | 2 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Intuitive Surgical, Inc. | $136.00 | 1 | $0 (2022) |
| Sumitomo Pharma America, Inc. | $20.08 | 1 | $0 (2023) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2023 | $20.08 | 1 | Sumitomo Pharma America, Inc. ($20.08) |
| 2022 | $136.00 | 1 | Intuitive Surgical, Inc. ($136.00) |
All Payment Transactions
2 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 03/17/2023 | Sumitomo Pharma America, Inc. | MYFEMBREE (Drug) | Food and Beverage | In-kind items and services | $20.08 | General |
| Category: HORMONE THERAPY | ||||||
| 03/24/2022 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $136.00 | General |
| Category: SURGERY | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 1 | 20 | 20 | $1,600 | $759.00 |
| 2022 | 2 | 34 | 34 | $2,798 | $1,368 |
| 2021 | 1 | 20 | 20 | $1,360 | $780.40 |
| 2020 | 1 | 20 | 20 | $1,360 | $793.60 |
All Medicare Procedures & Services
5 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | Office | 2023 | 20 | 20 | $1,600 | $759.00 | 47.4% |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | Office | 2022 | 21 | 21 | $1,680 | $814.88 | 48.5% |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | Office | 2022 | 13 | 13 | $1,118 | $552.73 | 49.4% |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | Office | 2021 | 20 | 20 | $1,360 | $780.40 | 57.4% |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | Office | 2020 | 20 | 20 | $1,360 | $793.60 | 58.4% |
About Dr. Andrea Sample, MD
Dr. Andrea Sample, MD is a Specialist healthcare provider based in Bridgeton, Missouri. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 09/21/2006. The National Provider Identifier (NPI) number assigned to this provider is 1972602761.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Andrea Sample, MD has received a total of $156.08 in payments from pharmaceutical and medical device companies, with $20.08 received in 2023. These payments were reported across 2 transactions from 2 companies. The most common payment nature is "Food and Beverage" ($156.08).
As a Medicare-enrolled provider, Sample has provided services to 94 Medicare beneficiaries, totaling 94 services with total Medicare billing of $3,701. Data is available for 4 years (2020–2023), covering 5 distinct procedure/service records.
Practice Information
- Specialty Specialist
- Other Specialties Obstetrics & Gynecology
- Location Bridgeton, MO
- Active Since 09/21/2006
- Last Updated 10/26/2020
- Taxonomy Code 174400000X
- Entity Type Individual
- NPI Number 1972602761
Products in Payments
- Da Vinci Surgical System (Device) $136.00
- MYFEMBREE (Drug) $20.08
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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