Dr. Claudia Sanmiguel, M.D

NPI: 1144474610
Total Payments
$6,321
2024 Payments
$1,513
Companies
33
Transactions
285
Medicare Patients
1,458
Medicare Billing
$224,118

Payment Breakdown by Category

Food & Beverage$6,292 (99.5%)
Education$29.03 (0.5%)
Other$0.00 (0.0%)

Payments by Nature

Nature of Payment Amount Transactions Share
Food and Beverage $6,292 282 99.5%
Education $29.03 3 0.5%

Top Paying Companies

Company Total Records Latest Year
ABBVIE INC. $2,207 100 $0 (2024)
Salix Pharmaceuticals, a division of Bausch Health US, LLC $1,308 70 $0 (2024)
Janssen Biotech, Inc. $499.11 20 $0 (2024)
Celgene Corporation $274.76 16 $0 (2024)
NESTLE HEALTHCARE NUTRITION INC. $251.75 11 $0 (2023)
Intuitive Surgical, Inc. $193.03 1 $0 (2021)
Merck Sharp & Dohme LLC $192.95 9 $0 (2024)
INTERCEPT PHARMACEUTICALS, INC. $123.50 7 $0 (2023)
Takeda Pharmaceuticals U.S.A., Inc. $120.89 6 $0 (2023)
HISTOSONICS,INC. $117.38 1 $0 (2024)

Payment History by Year

Year Amount Transactions Top Company
2024 $1,513 59 ABBVIE INC. ($600.89)
2023 $1,284 54 AbbVie Inc. ($383.13)
2022 $1,526 75 ABBVIE INC. ($665.33)
2021 $1,692 83 Salix Pharmaceuticals, a division of Bausch Health US, LLC ($552.76)
2020 $273.85 13 Salix Pharmaceuticals, a division of Bausch Health US, LLC ($104.31)
2019 $31.64 1 Boston Scientific Corporation ($31.64)

All Payment Transactions

285 individual payment records from CMS Open Payments — Page 1 of 12

Date Company Product Nature Form Amount Type
12/03/2024 ABBVIE INC. LINZESS (Drug), CREON Food and Beverage In-kind items and services $24.62 General
Category: GASTROENTEROLOGY
11/19/2024 ABBVIE INC. LINZESS (Drug), CREON Food and Beverage In-kind items and services $22.05 General
Category: GASTROENTEROLOGY
11/14/2024 ABBVIE INC. LINZESS (Drug), CREON Food and Beverage In-kind items and services $32.69 General
Category: GASTROENTEROLOGY
11/11/2024 Ardelyx, Inc. IBSRELA (Drug) Food and Beverage In-kind items and services $32.38 General
Category: GASTROENTEROLOGY
11/11/2024 ABBVIE INC. RINVOQ (Biological), SKYRIZI Food and Beverage In-kind items and services $18.03 General
Category: IMMUNOLOGY
11/07/2024 Lilly USA, LLC OMVOH (Drug) Food and Beverage In-kind items and services $23.48 General
Category: Immunology
11/04/2024 ABBVIE INC. LINZESS (Drug), CREON Food and Beverage In-kind items and services $9.07 General
Category: GASTROENTEROLOGY
10/28/2024 ABBVIE INC. RINVOQ (Biological), SKYRIZI Food and Beverage In-kind items and services $12.96 General
Category: IMMUNOLOGY
10/15/2024 Janssen Biotech, Inc. TREMFYA (Drug) Food and Beverage In-kind items and services $30.58 General
Category: Immunology
10/14/2024 GENZYME CORPORATION DUPIXENT (Biological) Food and Beverage In-kind items and services $24.24 General
Category: Immunology
10/10/2024 Lilly USA, LLC OMVOH (Drug) Food and Beverage In-kind items and services $24.24 General
Category: Immunology
09/25/2024 Merck Sharp & Dohme LLC DIFICID (Drug) Food and Beverage In-kind items and services $26.67 General
Category: INFECTIOUS DISEASE
09/23/2024 ABBVIE INC. RINVOQ (Biological), SKYRIZI Food and Beverage In-kind items and services $24.40 General
Category: IMMUNOLOGY
09/19/2024 ABBVIE INC. SKYRIZI (Biological), RINVOQ Food and Beverage In-kind items and services $20.21 General
Category: IMMUNOLOGY
09/10/2024 Lilly USA, LLC OMVOH (Drug) Food and Beverage In-kind items and services $30.56 General
Category: Immunology
09/03/2024 ABBVIE INC. LINZESS (Drug) Food and Beverage In-kind items and services $25.81 General
Category: GASTROENTEROLOGY
08/23/2024 ABBVIE INC. SKYRIZI (Biological) Education In-kind items and services $8.45 General
Category: IMMUNOLOGY
08/22/2024 HISTOSONICS,INC. Food and Beverage Cash or cash equivalent $117.38 General
08/21/2024 IRONWOOD PHARMACEUTICALS, INC Linzess (Drug) Food and Beverage Cash or cash equivalent $19.02 General
Category: GI
08/20/2024 ABBVIE INC. RINVOQ (Biological) Food and Beverage In-kind items and services $17.70 General
Category: IMMUNOLOGY
08/19/2024 AIMMUNE THERAPEUTICS, INC. VOWST (Biological) Food and Beverage In-kind items and services $28.00 General
Category: GI
08/12/2024 Regeneron Healthcare Solutions, Inc. DUPIXENT (Biological) Food and Beverage In-kind items and services $19.57 General
Category: INFLAMMATION AND IMMUNOLOGY
08/06/2024 Janssen Biotech, Inc. STELARA (Biological) Food and Beverage In-kind items and services $29.83 General
Category: Immunology
08/05/2024 Phathom Pharmaceuticals, Inc. VOQUEZNA (Drug) Food and Beverage In-kind items and services $22.96 General
Category: GASTROENTEROLOGY
07/25/2024 ABBVIE INC. CREON (Drug), LINZESS Food and Beverage In-kind items and services $29.04 General
Category: ENDOCRINOLOGY

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 16 612 784 $561,681 $95,818
2022 9 436 599 $420,589 $71,938
2021 12 399 505 $325,643 $54,607
2020 1 11 11 $8,987 $1,755
Total Patients
1,458
Total Services
1,899
Medicare Billing
$224,118
Procedure Codes
38

All Medicare Procedures & Services

38 procedure records from CMS Medicare Utilization — Page 1 of 2

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
99215 Established patient office or other outpatient visit, 40-54 minutes Office 2023 153 240 $207,360 $37,090 17.9%
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes Facility 2023 74 146 $54,166 $9,767 18.0%
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope Facility 2023 87 90 $58,140 $7,764 13.4%
99205 New patient office or other outpatient visit, 60-74 minutes Office 2023 36 36 $37,980 $6,658 17.5%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2023 41 41 $32,841 $5,958 18.1%
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes Facility 2023 41 45 $27,405 $4,782 17.4%
45380 Biopsy of large bowel using a flexible endoscope Facility 2023 40 40 $37,360 $4,345 11.6%
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare Facility 2023 18 18 $21,240 $3,279 15.4%
45390 Removal of large bowel tissue using a flexible endoscope Facility 2023 11 11 $16,973 $3,277 19.3%
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes Facility 2023 22 28 $15,624 $2,814 18.0%
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk Facility 2023 14 14 $12,040 $2,603 21.6%
G0105 Colorectal cancer screening; colonoscopy on individual at high risk Facility 2023 13 13 $11,167 $2,403 21.5%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2023 21 21 $12,999 $2,261 17.4%
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall Facility 2023 15 15 $5,700 $982.72 17.2%
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms Office 2023 12 12 $5,268 $962.04 18.3%
99221 Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes Facility 2023 14 14 $5,418 $871.86 16.1%
99215 Established patient office or other outpatient visit, 40-54 minutes Office 2022 123 193 $168,489 $29,831 17.7%
99232 Follow-up hospital inpatient care per day, typically 25 minutes Facility 2022 76 167 $55,611 $10,003 18.0%
99205 New patient office or other outpatient visit, 60-74 minutes Office 2022 40 40 $42,560 $7,865 18.5%
45380 Biopsy of large bowel using a flexible endoscope Facility 2022 40 40 $37,880 $6,123 16.2%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2022 44 44 $35,420 $5,804 16.4%
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope Facility 2022 62 62 $40,610 $5,101 12.6%
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare Facility 2022 15 15 $18,030 $3,292 18.3%
99222 Initial hospital inpatient care per day, typically 50 minutes Facility 2022 25 25 $15,775 $2,783 17.6%
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms Office 2022 11 13 $6,214 $1,137 18.3%

About Dr. Claudia Sanmiguel, M.D

Dr. Claudia Sanmiguel, M.D is a Gastroenterology healthcare provider based in Santa Monica, California. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 11/11/2008. The National Provider Identifier (NPI) number assigned to this provider is 1144474610.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Claudia Sanmiguel, M.D has received a total of $6,321 in payments from pharmaceutical and medical device companies, with $1,513 received in 2024. These payments were reported across 285 transactions from 33 companies. The most common payment nature is "Food and Beverage" ($6,292).

As a Medicare-enrolled provider, Sanmiguel has provided services to 1,458 Medicare beneficiaries, totaling 1,899 services with total Medicare billing of $224,118. Data is available for 4 years (2020–2023), covering 38 distinct procedure/service records.

Practice Information

  • Specialty Gastroenterology
  • Other Specialties Student in an Organized Health Care Education/Training Program
  • Location Santa Monica, CA
  • Active Since 11/11/2008
  • Last Updated 09/14/2021
  • Taxonomy Code 207RG0100X
  • Entity Type Individual
  • Practice Solo Practitioner
  • NPI Number 1144474610

Products in Payments

  • XIFAXAN (Drug) $1,074
  • SKYRIZI (Biological) $538.28
  • HUMIRA (Biological) $444.89
  • LINZESS (Drug) $422.06
  • RINVOQ (Biological) $408.59
  • STELARA (Biological) $387.64
  • ZEPOSIA (Drug) $274.76
  • CREON (Drug) $268.03
  • ZENPEP (Drug) $251.75
  • Da Vinci Surgical System (Device) $193.03
  • DIFICID (Drug) $167.06
  • TRULANCE (Drug) $153.63
  • VIBERZI (Drug) $125.26
  • OCALIVA (Drug) $123.50
  • ENTYVIO (Biological) $120.89
  • OMVOH (Drug) $104.79
  • ESOPHYX (Device) $102.64
  • SUCRAID (Drug) $92.80
  • DUPIXENT (Biological) $91.87
  • TREMFYA (Drug) $81.28

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.

Gastroenterology Doctors in Santa Monica