Active NPI 1053320713 Individual Practitioner Female Practitioner

Dr. Sandra Esquivel , MD

Surgery • Weslaco, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sandra Esquivel, MD is a certified Surgery practicing in Weslaco, TX. With approximately 35 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1991, Dr. Esquivel delivers high-quality medical care to the local community at 1210 E 8TH ST STE 3.

Dr. Esquivel is affiliated with Mcallen Hospitalist Group Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1210 E 8th St Ste 3

Weslaco, TX 785967120

Telephone 9564472668

Fax 9569730960

Associated Practice Facility / Clinic

🏢 Sandra A Esquivel Md Pa Facility NPI 1356692164

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Weslaco, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs Matches City Avg

City Avg: 35.0 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Weslaco, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Esquivel (35 Years) 35 Yrs

Weslaco Specialty Average (35.0 Years) 35.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

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	15	12	$251.00	$122.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$327.00	$160.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$195.00	$95.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$329.00	$161.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	210	210	$59.19	$16.39
99213 Established patient office or other outpatient visit, typically 15 minutes	22	18	$172.00	$85.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	14	$201.71	$99.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$220.21	$109.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$320.25	$163.39

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	35	22	$210.60	$106.18
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$146.43	$73.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	15	$142.61	$71.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$269.18	$135.29
99213 Established patient office or other outpatient visit, typically 15 minutes	16	11	$147.00	$72.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$399.00	$194.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	92	22	$230.00	$56.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	42	$210.00	$101.62
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$146.00	$71.14
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	38	12	$80.00	$25.15
99213 Established patient office or other outpatient visit, typically 15 minutes	33	16	$142.00	$48.09
99213 Established patient office or other outpatient visit, typically 15 minutes	26	20	$142.00	$69.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$210.00	$101.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$269.00	$128.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	126	33	$226.11	$56.85
99213 Established patient office or other outpatient visit, typically 15 minutes	92	30	$128.51	$47.11
99202 New patient office or other outpatient visit, typically 20 minutes	58	58	$145.45	$68.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	48	$184.64	$98.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$195.71	$97.80
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$134.07	$66.24
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1825.92	$658.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	12	$153.15	$66.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$274.55	$125.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	257	54	$292.37	$102.82
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	195	55	$161.58	$64.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	172	36	$105.00	$23.79
11042 Removal of skin and tissue, 20.0 sq cm or less	164	54	$240.98	$57.13
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	106	22	$554.70	$210.76
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	86	39	$213.90	$85.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	57	$165.12	$99.34
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	59	35	$104.32	$41.66
99213 Established patient office or other outpatient visit, typically 15 minutes	42	23	$125.36	$67.31
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	41	16	$552.56	$147.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$180.69	$99.46
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$147.28	$69.02
17250 Application of chemical to stop tissue regrowth in wound	31	11	$203.88	$63.80
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	24	13	$161.58	$64.43
99213 Established patient office or other outpatient visit, typically 15 minutes	24	18	$125.00	$47.62
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	21	21	$2310.00	$670.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	17	$165.23	$67.57
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	17	17	$212.30	$85.47
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$145.00	$47.17
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	11	11	$212.30	$85.47

Medical Specialties & State Licenses

CMS Verified: 2021-12-02

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX J1991

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

097127707 (TX)

Medicaid State Provider ID

0971277-09 (TX)

Medicaid State Provider ID

097127702 (TX)

Medicaid State Provider ID

0971277-10 (TX)

Commercial Insurance / Payer ID Ptan

1T9072 (TX)

Hospital & Practice Group Affiliations

Mcallen Hospitalist Group Pllc

4302 S Sugar Rd, Edinburg, TX 785399140

Phone: 9566301122

Secondary Practice Locations

4302 S Sugar Rd Ste 206

Edinburg, TX 785399140

Phone: 9566031122

Practice Associates & Co-Workers

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

1 Associated Practitioners

Victoria Cantu , PA-C

Physician Assistant - Surgical

NPI 1275261851

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address December 02, 2021

Registered at 367 S GULPH RD, KING OF PRUSSIA, PA 194063121 (Tel: 9564472668)

📍

Updated Practice Location January 30, 2020

Registered at 1210 E 8TH ST STE 3, WESLACO, TX 785967120 (Tel: 9564472668)

📍

Updated Business Mailing Address March 28, 2018

Registered at 1210 E 8TH ST, STE 3, WESLACO, TX 785967120 (Tel: 9564472668)

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 1330 E 6TH ST STE 201, WESLACO, TX 785966608 (Tel: 9564472668)

📍

Updated Business Mailing Address July 09, 2007

Registered at 1330 E 6TH ST STE 201, WESLACO, TX 785966608 (Tel: 9564472668)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as SANDRA ESQUIVEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Surgery (License #J1991 in TX)

🟢

Initial NPI Registration & Enumeration August 05, 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: 1053320713

Entity Type:

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

Enumeration Date: August 05, 2006

Last Update: December 02, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

367 S Gulph Rd

King Of Prussia, PA 194063121

Phone: 9564472668

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.