Active NPI 1265694731 Individual Practitioner Male Practitioner

Dr. Balaguru Kolandavelo Sambandam , MD

Surgery • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Balaguru Sambandam, MD is a certified Surgery practicing in Fort Worth, TX. With approximately 18 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 2008, Dr. Sambandam delivers high-quality medical care to the local community at 3025 N TARRANT PKWY STE 100.

Dr. Sambandam is affiliated with Texas Health Physicians Group and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3025 N Tarrant Pkwy Ste 100

Fort Worth, TX 761778625

Telephone 8177175268

Fax 8177178021

Associated Practice Facility / Clinic

🏢 North Tarrant Health Providers Pllc Facility NPI 1063906964

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

2008

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fort Worth, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -7.2 yrs vs City Avg

City Avg: 25.2 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

77 Specialists

Practicing in Fort Worth, TX (2342 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sambandam (18 Years) 18 Yrs

Fort Worth Specialty Average (25.2 Years) 25.2 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	60	$230.99	$76.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	39	$638.21	$167.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$422.62	$125.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	22	$129.00	$48.10
99238 Hospital discharge day management, 30 minutes or less	12	12	$239.00	$78.86
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2209.87	$693.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	28	$362.93	$77.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	16	$184.07	$119.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$371.50	$122.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$307.39	$155.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$845.76	$166.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	16	$157.15	$36.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$449.52	$65.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$172.98	$120.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$285.83	$156.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$533.24	$126.17
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$227.03	$92.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	52	52	$168.73	$92.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	31	$71.23	$35.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$251.10	$126.97
99213 Established patient office or other outpatient visit, typically 15 minutes	32	16	$125.40	$86.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$195.34	$106.37
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1400.43	$665.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	109	67	$73.35	$37.36
99221 Initial hospital inpatient care per day, typically 30 minutes	68	68	$176.64	$96.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$247.17	$130.73
99213 Established patient office or other outpatient visit, typically 15 minutes	32	24	$128.69	$70.94
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	28	28	$1368.56	$681.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$358.00	$190.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$295.97	$153.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	77	42	$74.08	$36.66
99221 Initial hospital inpatient care per day, typically 30 minutes	52	52	$169.38	$94.19
99213 Established patient office or other outpatient visit, typically 15 minutes	39	20	$131.75	$69.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$348.54	$189.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	33	15	$420.00	$70.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	15	$392.68	$38.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$720.57	$72.14
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$1479.57	$100.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	61	28	$604.99	$36.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$1102.88	$190.97
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$1089.23	$94.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$751.94	$98.38

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX P5128

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Texas Health Physicians Group

1325 Pennsylvania Ave, Fort Worth, TX 761042133

Phone: 8172507030

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address January 17, 2019

Registered at 1540 KELLER PKWY # 108-249, KELLER, TX 762483686 (Tel: 8177175268)

📍

Updated Practice Location November 14, 2018

Registered at 3025 N TARRANT PKWY STE 100, FORT WORTH, TX 761778625 (Tel: 8177175268)

📍

Updated Business Mailing Address November 14, 2018

Registered at 3025 N TARRANT PKWY STE 100, FORT WORTH, TX 761778625 (Tel: 8177175268)

✅

NPI Profile Active December 31, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 31, 2015

Registered at 3025 NORTH TARRANT PARKWAY, SUITE 220, FORT WORTH, TX 76177 (Tel: 8173494663)

📍

Updated Business Mailing Address December 31, 2015

Registered at 3025 NORTH TARRANT PARKWAY, SUITE 220, FORT WORTH, TX 76177 (Tel: 8173494663)

👤

Provider Name / Credentials Updated December 31, 2015

Recorded as BALAGURU SAMBANDAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2015

Surgery (License #P5128 in TX)

🟢

Initial NPI Registration & Enumeration June 26, 2008

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: 1265694731

Entity Type:

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

Enumeration Date: June 26, 2008

Last Update: January 17, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1540 Keller Pkwy # 108-249

Keller, TX 762483686

Phone: 8177175268

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.