Medicare Enrolled
Dr. James Sandwich, M.D.
Optician · Fayetteville, GA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Sandwich from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Sandwich
Dr. James Sandwich is an optician specialist in Fayetteville, GA, with 21 years of NPI registration. Based on federal Medicare data, Dr. Sandwich performed 12,115 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Sandwich received a total of $4,989 from 34 pharmaceutical and/or device companies across 168 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Sandwich is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 21 years of NPI registration
▲ Top 3% volume in GA
$4,989 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗12,115
Medicare services
Top 3% in GA for optician
Not available
Unique patients (not deduplicated)
$48
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
4,858 | $5 | $11 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
2,145 | $60 | $154 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
1,580 | $39 | $114 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
782 | $70 | $175 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
391 | $38 | $96 |
| Additional skin growth biopsy Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session. |
339 | $37 | $87 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
264 | $66 | $191 |
| Destruction of skin growths (warts/lesions), 1-14 This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface. |
228 | $72 | $188 |
| Skin growth removal and lab exam, 1-5 blocks This procedure involves the removal of a growth from the head, neck, hands, feet, or genitals. The removed tissue is then examined under a microscope in the laboratory. |
198 | $475 | $1,161 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
184 | $82 | $217 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
151 | $10 | $24 |
| Destruction of cancer skin growth, 1.1-2.0 cm Removal of a cancerous skin growth on the trunk, arms, or legs that measures between 1.1 and 2.0 centimeters. |
146 | $116 | $310 |
| Complicated wound repair, 2.6-7.5 cm A complex surgical procedure to close a wound measuring between 2.6 and 7.5 centimeters on areas such as the face, neck, hands, or feet. |
79 | $203 | $808 |
| Destruction of 15 or more precancerous skin growths This procedure involves the removal or destruction of fifteen or more precancerous skin lesions. It is performed to treat abnormal skin cells that have the potential to develop into cancer. |
78 | $116 | $281 |
| Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 74 | $323 | $707 |
| Ear tissue biopsy A procedure to remove a small sample of tissue from the ear for laboratory examination. |
58 | $50 | $165 |
| Injection into skin growths, 1-7 A procedure involving the injection of medication into one to seven skin growths. |
48 | $32 | $98 |
| Destruction of cancer skin growth, 0.6-1.0 cm This procedure involves the removal or destruction of a cancerous skin growth located on the trunk, arms, or legs that measures between 0.6 and 1.0 centimeters. |
43 | $94 | $255 |
| Complicated wound repair of trunk, 2.6-7.5 cm A surgical procedure to close a complex wound on the trunk that measures between 2.6 and 7.5 centimeters in length. |
36 | $278 | $664 |
| Complicated wound repair, scalp/arms/legs, 2.6-7.5 cm A complex surgical procedure to close a wound on the scalp, arms, or legs that measures between 2.6 and 7.5 centimeters in length. |
35 | $252 | $729 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
32 | $1 | $2 |
| Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm | 31 | $123 | $323 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
31 | $52 | $124 |
| Removal of noncancer skin growth, 1.1-2.0 cm This procedure involves the surgical removal of a benign skin growth located on the body, arms, or legs. The growth measured between 1.1 and 2.0 centimeters in diameter. |
30 | $68 | $292 |
| Destruction of cancerous skin growth on face, 0.6-1.0 cm This procedure involves the removal or destruction of a cancerous skin lesion located on the face, ears, eyelids, nose, lips, or mouth. The lesion treated measures between 0.6 and 1.0 centimeters in diameter. |
28 | $123 | $314 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
27 | $114 | $283 |
| Intermediate wound repair, 2.6-7.5 cm A medical procedure to close a wound on the scalp, underarms, trunk, arms, or legs that measures between 2.6 and 7.5 centimeters. This type of repair involves cleaning the wound and stitching it closed to promote healing. |
26 | $228 | $532 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
25 | $16 | $40 |
| Destruction of cancerous skin growth on face, 1.1-2.0 cm This procedure involves the removal or destruction of a cancerous skin lesion located on the face, ears, eyelids, nose, lips, or mouth. The lesion treated measures between 1.1 and 2.0 centimeters in diameter. |
23 | $143 | $352 |
| Punch biopsy of first skin growth A small, circular piece of skin is removed from a skin growth using a circular blade. The sample is then sent to a laboratory for examination. |
21 | $97 | $224 |
| Skin growth removal and lab exam, 1-5 blocks A procedure to remove a growth from the trunk, arms, or legs and send 1 to 5 tissue samples to a laboratory for microscopic examination. |
21 | $461 | $1,074 |
| Destruction of cancer skin growth, 0.6-1.0 cm This procedure involves the removal or destruction of a cancerous skin growth measuring 0.6 to 1.0 centimeters. It is performed on the scalp, neck, hands, feet, or genitals. |
17 | $93 | $291 |
| Surgical removal of skin cancer, 2.1-3.0 cm This procedure involves the surgical excision of a cancerous skin growth located on the body, arms, or legs. The size of the removed tissue measures between 2.1 and 3.0 centimeters. |
16 | $108 | $474 |
| Simple drainage of skin abscess A minor procedure to drain a localized collection of pus from the skin. The abscess is opened to allow the fluid to escape and promote healing. |
15 | $77 | $213 |
| Destruction of small cancerous skin growth on face or mouth This procedure involves the removal or destruction of a cancerous skin lesion measuring 0.5 centimeters or less located on the face, ears, eyelids, nose, lips, or mouth. |
15 | $91 | $238 |
| Skin graft repair of eyelid, nose, ear, or lip, 10 sq cm or less A surgical procedure to repair a wound on the eyelid, nose, ear, or lip by transferring a small piece of skin. The transferred skin covers an area of 10 square centimeters or less. |
14 | $591 | $1,301 |
| Surgical removal of skin cancer, 3.1-4.0 cm This procedure involves the surgical excision of a cancerous skin growth located on the body, arms, or legs. The size of the removed tissue is between 3.1 and 4.0 centimeters. |
13 | $120 | $525 |
| Complicated wound repair, each additional 5 cm or less This code covers the additional work for a complex surgical repair of a wound on the scalp, arms, or legs when the repair extends beyond the initial measurement. It is billed for each incremental 5-centimeter segment added to the primary procedure. |
13 | $100 | $220 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$4,989
Total received (2018-2024)
Avg $713/year across 7 years
Top 23% in GA for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
168
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$739
2023
$517
2022
$403
2021
$318
2020
$2,123
2019
$455
2018
$433
Payments by company (2024)
Organogenesis Inc.
$225
GENZYME CORPORATION
$135
E.R. Squibb & Sons, L.L.C.
$53
Lilly USA, LLC
$52
ABBVIE INC.
$48
Novartis Pharmaceuticals Corporation
$42
MAYNE PHARMA COMMERCIAL LLC
$38
Arcutis Biotherapeutics, Inc.
$38
Amgen Inc.
$30
PFIZER INC.
$24
Regeneron Healthcare Solutions, Inc.
$21
LEO Pharma Inc.
$20
SUN PHARMACEUTICAL INDUSTRIES INC.
$14
Top 3 companies account for 55.8% of 2024 payments
All-time payments by company (2018-2024) ›
UCB, Inc.
$1,745
GENZYME CORPORATION
$377
AbbVie Inc.
$317
Novartis Pharmaceuticals Corporation
$280
Organogenesis Inc.
$250
ABBVIE INC.
$238
AbbVie, Inc.
$198
Lilly USA, LLC
$178
Regeneron Healthcare Solutions, Inc.
$170
Janssen Biotech, Inc.
$169
Amgen Inc.
$115
Merz North America, Inc.
$111
Sun Pharmaceutical Industries Inc.
$110
MAYNE PHARMA COMMERCIAL LLC
$96
Celgene Corporation
$89
Arcutis Biotherapeutics, Inc.
$81
LEO Pharma Inc.
$63
Dermavant Sciences, Inc.
$59
PFIZER INC.
$54
E.R. Squibb & Sons, L.L.C.
$53
STRATA Skin Sciences, Inc.
$26
PruGen, Inc. Pharmaceuticals
$22
DERMIRA, INC.
$20
NOVARTIS PHARMACEUTICALS CORPORATION
$19
Helsinn Therapeutics (U.S.), Inc.
$19
Genentech USA, Inc.
$19
Allergan Inc.
$16
iCAD, Inc
$15
Galderma Laboratories, L.P.
$15
SUN PHARMACEUTICAL INDUSTRIES INC.
$14
Janssen Scientific Affairs, LLC
$14
Bioventus LLC
$13
Taro Pharmaceuticals USA, Inc.
$12
TARO PHARMACEUTICALS USA, INC.
$12
Top 3 companies account for 48.9% of all-time payments
Associated products mentioned in payments ›
0.25% · ADBRY · AFFINITY · AXXENT SURFACE CONTROLLER · BLU-U · BOTOX COSMETIC · COSENTYX · Cimzia · DERMATITIS - DISEASE · DUPIXENT · Dermatological Psoriasis and Vitiligo Treatment · ENSTILAR · EUCRISA · Erivedge · HUMIRA · Humira · ILUMYA · LIBTAYO · ORACEA · Otezla · PURAPLY AM · Puraply · QBREXZA · REMICADE · RINVOQ · SKYRIZI · Skyrizi · Sotyktu · TALTZ · TOPICORT (desoximetasone) Topical Spray · TREMFYA · Tremfya · ULTRAVATE · VALCHLOR · VTAMA · XELJANZ · Zoryve
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Opticians in nearby ZIP areas
263
County median income
$108,986
Nearest hospital to ZIP centroid (approximate)
PIEDMONT FAYETTE HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Sandwich is a clinical cardiology specialist, with above-average Medicare volume (top 3% in GA), with 21 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Sandwich experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Dr. Sandwich performed 4,858 destruction of precancerous skin growths, 2-14 services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Sandwich receive payments from pharmaceutical companies?
Yes. Dr. Sandwich received a total of $4,989 from 34 companies across 168 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Sandwich's costs compare to other opticians in Fayetteville?
Dr. Sandwich's average Medicare payment per service is $48. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Sandwich) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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