Total Payments
$535.51
2024 Payments
$122.64
Companies
14
Transactions
28
Medicare Patients
4,309
Medicare Billing
$476,705
Payment Breakdown by Category
Food & Beverage$460.52 (86.0%)
Education$74.99 (14.0%)
Other$0.00 (0.0%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $460.52 | 27 | 86.0% |
| Education | $74.99 | 1 | 14.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| ABBVIE INC. | $86.66 | 4 | $0 (2024) |
| GlaxoSmithKline, LLC. | $82.65 | 4 | $0 (2024) |
| Astellas Pharma US Inc | $74.99 | 1 | $0 (2017) |
| Janssen Pharmaceuticals, Inc | $69.12 | 4 | $0 (2019) |
| AstraZeneca Pharmaceuticals LP | $39.54 | 3 | $0 (2024) |
| Novo Nordisk Inc | $37.13 | 2 | $0 (2024) |
| Acclarent, Inc | $36.87 | 2 | $0 (2018) |
| Takeda Pharmaceuticals U.S.A., Inc. | $27.41 | 2 | $0 (2018) |
| Currax Pharmaceuticals LLC | $16.32 | 1 | $0 (2024) |
| PFIZER INC. | $15.86 | 1 | $0 (2017) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $122.64 | 7 | ABBVIE INC. ($39.93) |
| 2023 | $16.80 | 1 | ABBVIE INC. ($16.80) |
| 2021 | $69.34 | 2 | GlaxoSmithKline, LLC. ($39.41) |
| 2019 | $52.06 | 3 | Janssen Pharmaceuticals, Inc ($39.70) |
| 2018 | $99.41 | 7 | Takeda Pharmaceuticals U.S.A., Inc. ($27.41) |
| 2017 | $175.26 | 8 | Astellas Pharma US Inc ($74.99) |
All Payment Transactions
28 individual payment records from CMS Open Payments — Page 1 of 2
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 11/13/2024 | GlaxoSmithKline, LLC. | TRELEGY ELLIPTA (Drug) | Food and Beverage | In-kind items and services | $14.70 | General |
| Category: RESPIRATORY | ||||||
| 10/22/2024 | GlaxoSmithKline, LLC. | TRELEGY ELLIPTA (Drug), AREXVY | Food and Beverage | In-kind items and services | $13.81 | General |
| Category: RESPIRATORY | ||||||
| 07/16/2024 | AstraZeneca Pharmaceuticals LP | AIRSUPRA (Drug) | Food and Beverage | In-kind items and services | $13.33 | General |
| Category: Respiratory | ||||||
| 04/04/2024 | Novo Nordisk Inc | Rybelsus (Drug) | Food and Beverage | In-kind items and services | $24.55 | General |
| Category: Diabetes | ||||||
| 04/02/2024 | Currax Pharmaceuticals LLC | CONTRAVE (Drug) | Food and Beverage | In-kind items and services | $16.32 | General |
| Category: Obesity | ||||||
| 02/20/2024 | ABBVIE INC. | VRAYLAR (Drug) | Food and Beverage | In-kind items and services | $21.51 | General |
| Category: NEUROSCIENCE | ||||||
| 01/17/2024 | ABBVIE INC. | UBRELVY (Drug), QULIPTA | Food and Beverage | In-kind items and services | $18.42 | General |
| Category: NEUROSCIENCE | ||||||
| 06/01/2023 | ABBVIE INC. | UBRELVY (Drug) | Food and Beverage | In-kind items and services | $16.80 | General |
| Category: NEUROSCIENCE | ||||||
| 07/01/2021 | AbbVie Inc. | UBRELVY (Drug) | Food and Beverage | In-kind items and services | $29.93 | General |
| Category: NEUROSCIENCE | ||||||
| 06/29/2021 | GlaxoSmithKline, LLC. | SHINGRIX (Biological) | Food and Beverage | In-kind items and services | $39.41 | General |
| Category: VACCINES | ||||||
| 08/01/2019 | Janssen Pharmaceuticals, Inc | XARELTO (Drug) | Food and Beverage | In-kind items and services | $19.86 | General |
| Category: Cardiovascular & Metabolism | ||||||
| 07/22/2019 | Janssen Pharmaceuticals, Inc | XARELTO (Drug) | Food and Beverage | In-kind items and services | $19.84 | General |
| Category: Cardiovascular & Metabolism | ||||||
| 06/25/2019 | Novartis Pharmaceuticals Corporation | ENTRESTO (Drug) | Food and Beverage | In-kind items and services | $12.36 | General |
| Category: CARDIOVASCULAR | ||||||
| 10/09/2018 | AstraZeneca Pharmaceuticals LP | SYMBICORT (Drug) | Food and Beverage | In-kind items and services | $12.79 | General |
| Category: Respiratory | ||||||
| 09/04/2018 | Novo Nordisk Inc | Victoza (Drug), Tresiba, Xultophy 100/3.6 | Food and Beverage | In-kind items and services | $12.58 | General |
| Category: Diabetes | ||||||
| 06/04/2018 | Janssen Pharmaceuticals, Inc | XARELTO (Drug) | Food and Beverage | In-kind items and services | $15.69 | General |
| Category: Cardiovascular & Metabolism | ||||||
| 05/23/2018 | Takeda Pharmaceuticals U.S.A., Inc. | Trintellix (Drug) | Food and Beverage | In-kind items and services | $13.54 | General |
| Category: Central Nervous System (CNS) | ||||||
| 03/28/2018 | GlaxoSmithKline, LLC. | SHINGRIX (Biological) | Food and Beverage | In-kind items and services | $14.73 | General |
| Category: VACCINES | ||||||
| 03/21/2018 | Takeda Pharmaceuticals U.S.A., Inc. | Trintellix (Drug) | Food and Beverage | In-kind items and services | $13.87 | General |
| Category: Central Nervous System (CNS) | ||||||
| 03/10/2018 | Acclarent, Inc | ACCLARENT AERA EUSTACHIAN TUBE BALLOON DILATION SYSTEM (Device) | Food and Beverage | In-kind items and services | $16.21 | General |
| Category: Rhinology, Otology | ||||||
| 12/06/2017 | AstraZeneca Pharmaceuticals LP | BEVESPI AEROSPHERE (Drug) | Food and Beverage | In-kind items and services | $13.42 | General |
| Category: Respiratory | ||||||
| 11/29/2017 | Astellas Pharma US Inc | — | Education | In-kind items and services | $74.99 | General |
| 11/14/2017 | Orexigen Therapeutics, Inc. | CONTRAVE (Drug) | Food and Beverage | In-kind items and services | $10.42 | General |
| Category: OBESITY | ||||||
| 10/03/2017 | Janssen Pharmaceuticals, Inc | INVOKANA (Drug), INVOKAMET | Food and Beverage | In-kind items and services | $13.73 | General |
| Category: Cardiovascular & Metabolism | ||||||
| 06/21/2017 | PFIZER INC. | PREVNAR - 13 (Biological) | Food and Beverage | In-kind items and services | $15.86 | General |
| Category: VACCINES | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 18 | 1,064 | 1,719 | $437,117 | $131,297 |
| 2022 | 16 | 957 | 1,580 | $411,322 | $122,825 |
| 2021 | 19 | 1,083 | 1,591 | $396,875 | $119,354 |
| 2020 | 22 | 1,205 | 1,668 | $387,122 | $103,229 |
Total Patients
4,309
Total Services
6,558
Medicare Billing
$476,705
Procedure Codes
75
All Medicare Procedures & Services
75 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 373 | 793 | $252,967 | $68,569 | 27.1% |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 2023 | 223 | 223 | $75,597 | $28,203 | 37.3% |
| 99495 | Transitional care management services for problem of at least moderate complexity | Office | 2023 | 39 | 44 | $23,848 | $7,012 | 29.4% |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | Office | 2023 | 16 | 114 | $13,908 | $5,468 | 39.3% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 58 | 64 | $14,016 | $3,720 | 26.5% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 26 | 26 | $12,506 | $2,929 | 23.4% |
| 99496 | Transitional care management services for problem of high complexity | Office | 2023 | 13 | 13 | $9,308 | $2,807 | 30.2% |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | Office | 2023 | 16 | 16 | $8,000 | $2,588 | 32.4% |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | Office | 2023 | 31 | 31 | $2,604 | $2,350 | 90.3% |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | Office | 2023 | 12 | 12 | $5,856 | $1,945 | 33.2% |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | Office | 2023 | 63 | 103 | $6,901 | $1,674 | 24.3% |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | Office | 2023 | 12 | 34 | $3,094 | $1,255 | 40.6% |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | Office | 2023 | 21 | 26 | $4,212 | $1,012 | 24.0% |
| G0008 | Administration of influenza virus vaccine | Office | 2023 | 37 | 37 | $925.00 | $906.50 | 98.0% |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | Office | 2023 | 51 | 91 | $910.00 | $292.11 | 32.1% |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | Office | 2023 | 22 | 22 | $1,100 | $247.06 | 22.5% |
| 96372 | Injection of drug or substance under skin or into muscle | Office | 2023 | 15 | 25 | $1,050 | $220.40 | 21.0% |
| 81003 | Automated urinalysis test | Office | 2023 | 36 | 45 | $315.00 | $99.00 | 31.4% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 346 | 872 | $278,168 | $78,107 | 28.1% |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 2022 | 204 | 204 | $69,156 | $26,253 | 38.0% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 74 | 88 | $19,272 | $5,304 | 27.5% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 26 | 26 | $12,506 | $2,865 | 22.9% |
| 99495 | Transitional care management services for problem of moderate complexity | Office | 2022 | 12 | 13 | $7,046 | $2,081 | 29.5% |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | Office | 2022 | 12 | 12 | $5,856 | $1,976 | 33.7% |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | Office | 2022 | 14 | 14 | $1,680 | $1,321 | 78.6% |
About Dr. Sandra Garred, M.D
Dr. Sandra Garred, M.D is a Internal Medicine healthcare provider based in Fredericksburg, Texas. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 09/19/2005. The National Provider Identifier (NPI) number assigned to this provider is 1770578478.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Sandra Garred, M.D has received a total of $535.51 in payments from pharmaceutical and medical device companies, with $122.64 received in 2024. These payments were reported across 28 transactions from 14 companies. The most common payment nature is "Food and Beverage" ($460.52).
As a Medicare-enrolled provider, Garred has provided services to 4,309 Medicare beneficiaries, totaling 6,558 services with total Medicare billing of $476,705. Data is available for 4 years (2020–2023), covering 75 distinct procedure/service records.
Ad
Practice Information
- Specialty Internal Medicine
- Location Fredericksburg, TX
- Active Since 09/19/2005
- Last Updated 06/07/2025
- Taxonomy Code 207R00000X
- Entity Type Individual
- NPI Number 1770578478
Products in Payments
- UBRELVY (Drug) $65.15
- XARELTO (Drug) $55.39
- SHINGRIX (Biological) $54.14
- TRELEGY ELLIPTA (Drug) $28.51
- Trintellix (Drug) $27.41
- CONTRAVE (Drug) $26.74
- Rybelsus (Drug) $24.55
- VRAYLAR (Drug) $21.51
- ACCLARENT AERA Eustachian Tube Balloon Dilation System (Device) $20.66
- ACCLARENT AERA EUSTACHIAN TUBE BALLOON DILATION SYSTEM (Device) $16.21
- PREVNAR - 13 (Biological) $15.86
- PRECISION PLUS SCS SYSTEM (Device) $14.20
- INVOKANA (Drug) $13.73
- BEVESPI AEROSPHERE (Drug) $13.42
- AIRSUPRA (Drug) $13.33
- SYMBICORT (Drug) $12.79
- Victoza (Drug) $12.58
- ENTRESTO (Drug) $12.36
- FORTEO (Drug) $11.98
Explore
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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