Active NPI 1962420752 Individual Practitioner Female Practitioner

Dr. Sandhya T Patel , MD

Pediatrics • Ventura, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sandhya Patel, MD is a certified Pediatrics practicing in Ventura, CA. With approximately 29 years of clinical experience since graduating from Saint Louis University School Of Medicine in 1997, Dr. Patel delivers high-quality medical care to the local community at 124 N BRENT ST.

Dr. Patel is affiliated with Community Memorial Health System and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

124 N Brent St

Ventura, CA 930032810

Telephone 8056419880

Fax 8056419890

Associated Practice Facility / Clinic

🏢 William A Speitel Facility NPI 1083771349

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Ventura, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs -2.0 yrs vs City Avg

City Avg: 31.0 Yrs

State Avg: 22.5 Yrs

Regional Practice Density

36 Specialists

Practicing in Ventura, CA (9612 Statewide)

Telehealth Adoption Rate

5.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

23.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (29 Years) 29 Yrs

Ventura Specialty Average (31.0 Years) 31.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	530	190	$199.92	$136.46
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	347	136	$30.00	$16.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	130	130	$146.19	$138.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	112	11	$34.00	$15.55
99213 Established patient office or other outpatient visit, typically 15 minutes	94	68	$110.00	$97.09
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	65	11	$65.00	$64.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	45	$160.00	$99.70
99442 Telephone medical discussion with physician, 11-20 minutes	37	31	$102.43	$97.03
99441 Telephone medical discussion with physician, 5-10 minutes	36	32	$75.00	$61.03
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	24	20	$30.00	$16.94
81003 Automated urinalysis test	23	20	$25.00	$2.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$75.00	$61.12
90662 Influenza vaccine split virus, preservative free	20	20	$65.00	$63.70
G0008 Administration of influenza virus vaccine	19	19	$40.00	$34.54
93000 Routine ekg using at least 12 leads including interpretation and report	18	17	$60.00	$14.58
G0444 Annual depression screening, 5 to 15 minutes	17	17	$20.00	$19.60
G0009 Administration of pneumococcal vaccine	13	13	$40.00	$34.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	478	183	$200.00	$139.61
99213 Established patient office or other outpatient visit, typically 15 minutes	152	85	$110.59	$98.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	127	13	$34.00	$15.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	115	115	$145.13	$142.07
99441 Telephone medical discussion with physician, 5-10 minutes	61	52	$75.00	$62.22
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	48	12	$65.00	$65.16
99442 Telephone medical discussion with physician, 11-20 minutes	42	36	$100.00	$99.00
G0008 Administration of influenza virus vaccine	39	38	$40.00	$33.82
90662 Influenza vaccine split virus, preservative free	39	38	$65.00	$63.70
99497 Advance care planning, first 30 minutes	31	31	$100.00	$88.80
81003 Automated urinalysis test	31	21	$25.00	$2.20
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$60.00	$16.02
G0009 Administration of pneumococcal vaccine	16	16	$40.00	$33.77
69209 Removal of impacted ear wax by washing	13	13	$45.00	$18.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	364	151	$108.32	$99.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	250	156	$200.00	$139.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	119	119	$145.00	$142.86
99441 Telephone medical discussion with physician, 5-10 minutes	98	67	$75.00	$61.81
99442 Telephone medical discussion with physician, 11-20 minutes	49	33	$100.00	$98.50
G0008 Administration of influenza virus vaccine	43	42	$39.72	$32.83
90662 Influenza vaccine split virus, preservative free	41	40	$64.76	$63.49
81003 Automated urinalysis test	32	26	$25.00	$2.22
99497 Advance care planning, first 30 minutes	29	29	$100.00	$90.14
93000 Routine ekg using at least 12 leads including interpretation and report	20	18	$60.00	$15.76
G0009 Administration of pneumococcal vaccine	17	17	$35.76	$31.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	342	134	$100.00	$100.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	143	$200.00	$142.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	105	105	$145.00	$145.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	92	15	$34.00	$15.87
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	71	12	$65.00	$44.86
G0008 Administration of influenza virus vaccine	48	48	$28.00	$19.18
90662 Influenza vaccine split virus, preservative free	46	46	$55.00	$55.00
99442 Telephone medical discussion with physician, 11-20 minutes	28	22	$100.00	$100.41
93000 Routine ekg using at least 12 leads including interpretation and report	24	22	$60.00	$16.54
99441 Telephone medical discussion with physician, 5-10 minutes	23	20	$75.00	$62.82
81003 Automated urinalysis test	22	15	$25.00	$2.25
99497 Advance care planning, first 30 minutes	20	20	$100.00	$92.10
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$75.00	$75.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	485	156	$100.00	$81.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	217	126	$150.00	$118.80
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	119	17	$65.00	$45.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	99	99	$145.00	$127.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	62	14	$34.00	$15.86
G0008 Administration of influenza virus vaccine	52	52	$28.00	$18.78
90662 Influenza vaccine split virus, preservative free	51	51	$54.41	$54.36
G0009 Administration of pneumococcal vaccine	23	23	$29.22	$18.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$175.00	$116.69
90670 Pneumococcal vaccine for injection into muscle	16	16	$145.00	$143.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$75.00	$45.99
93000 Routine ekg using at least 12 leads including interpretation and report	15	13	$60.00	$19.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	497	153	$100.00	$81.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	137	$150.00	$118.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	107	107	$145.00	$127.57
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	89	21	$65.00	$45.12
G0008 Administration of influenza virus vaccine	49	49	$28.00	$18.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	46	14	$34.00	$18.65
90662 Influenza vaccine split virus, preservative free	45	45	$45.00	$44.10
93000 Routine ekg using at least 12 leads including interpretation and report	25	25	$60.00	$18.89
17000 Destruction of skin growth	22	13	$95.00	$73.01
G0009 Administration of pneumococcal vaccine	18	17	$28.00	$18.43
94640 Inhalation treatment for airway obstruction or sputum production	16	13	$35.00	$21.24
99497 Advance care planning, first 30 minutes	16	16	$100.00	$90.70
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$75.00	$73.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	467	174	$100.00	$77.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	124	$150.00	$113.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	77	77	$145.00	$123.74
G0008 Administration of influenza virus vaccine	50	49	$28.00	$22.97
90662 Influenza vaccine split virus, preservative free	43	43	$40.58	$39.77
81002 Urinalysis, manual test	36	28	$10.00	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	32	30	$60.00	$18.16
G0009 Administration of pneumococcal vaccine	18	18	$28.00	$22.97
90670 Pneumococcal vaccine for injection into muscle	11	11	$145.00	$142.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	504	157	$100.00	$77.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$145.00	$122.65
G0008 Administration of influenza virus vaccine	52	51	$28.00	$27.44
90662 Influenza vaccine split virus, preservative free	50	50	$35.00	$34.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	33	$150.00	$111.49
81002 Urinalysis, manual test	43	25	$10.00	$3.43
G0009 Administration of pneumococcal vaccine	24	24	$28.00	$27.44
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$60.00	$18.26
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$125.00	$79.51
90670 Pneumococcal vaccine for injection into muscle	18	18	$145.00	$142.10
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$75.00	$73.50
69210 Removal of impacted ear wax	11	11	$60.00	$49.71

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A94036

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License CA A94036

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00A3458400 (CA)

Hospital & Practice Group Affiliations

Community Memorial Health System

422 Arneill Rd B, Camarillo, CA 930106434

Phone: 8053834510

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Abigail Lukens , DO

Family Medicine

NPI 1588014658

Doctor of Osteopathic Medicine (D.O.)

Dr. William Speitel , MD

Family Medicine

NPI 1710971346

Doctor of Medicine (M.D.)

Dr. Shane Shepard , MD

Family Medicine

NPI 1962798066

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 08, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 08, 2012

Registered at 124 N BRENT ST, VENTURA, CA 930032810 (Tel: 8056419880)

📍

Updated Business Mailing Address October 08, 2012

Registered at 5855 OLIVAS PARK DR, VENTURA, CA 930037672 (Tel: 8056672801)

👤

Provider Name / Credentials Updated October 08, 2012

Recorded as SANDHYA PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2012

Internal Medicine (License #A94036 in CA)

🟢

Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962420752

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 18, 2006

Last Update: October 08, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5855 Olivas Park Dr

Ventura, CA 930037672

Phone: 8056672801

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.