Medicare Enrolled

Dr. Sandra Estrada, ARNP

Physician Assistant · Silverdale, WA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
2011 NW MYHRE PL, Silverdale, WA 98383
3608301605
In practice since 2006 (20 years)
NPI: 1427082833 verify on NPPES ↗
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. Estrada 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 →
Are you Dr. Estrada? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Estrada

Dr. Sandra Estrada is a physician assistant in Silverdale, WA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Estrada performed 13,817 Medicare services across 337 unique beneficiaries.

Between the years covered by Open Payments, Dr. Estrada received a total of $9,636 from 54 pharmaceutical and/or device companies across 357 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physician assistant. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Estrada 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.

✓ 20 years in practice ▲ Top 1% volume in WA $9,636 industry payments

Medicare Practice Summary

Medicare Utilization ↗
13,817
Medicare services
Top 1% in WA for physician assistant
337
Unique beneficiaries
$7
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~691 Medicare services per year of practice

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
Botox injection, per unit
An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered.
13,400 $5 $19
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.
175 $71 $375
Bilateral facial and neck nerve muscle paralysis injection
Injection of a chemical agent to paralyze muscles in the face and neck on both sides.
70 $94 $448
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.
67 $53 $259
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.
49 $88 $478
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
32 $108 $530
New patient office visit, complex (60-74 min) 24 $113 $632
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. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$9,636
Total received (2021-2024)
Avg $2,409/year across 4 years
Top 3% in WA for physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
54
Companies
357
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$9,618 (99.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$18 (0.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,848
2023
$3,890
2022
$2,114
2021
$1,783

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
EMD Serono, Inc.
$196
PFIZER INC.
$112
Alexion Pharmaceuticals, Inc.
$104
Lilly USA, LLC
$96
ACADIA Pharmaceuticals Inc
$93
Lundbeck LLC
$91
GENZYME CORPORATION
$88
Neurelis, Inc.
$84
Teva Pharmaceuticals USA, Inc.
$81
Novartis Pharmaceuticals Corporation
$76
ABBVIE INC.
$75
Eisai Inc.
$67
Acorda Therapeutics, Inc
$67
SK Life Science, Inc.
$60
Alnylam Pharmaceuticals Inc.
$60
Boston Scientific Corporation
$58
JAZZ PHARMACEUTICALS INC.
$57
Biogen, Inc.
$48
Azurity Pharmaceuticals, Inc.
$42
Neurocrine Biosciences, Inc.
$41
Genentech USA, Inc.
$32
LivaNova USA, Inc.
$29
Otsuka America Pharmaceutical, Inc.
$29
UCB, Inc.
$28
Celgene Corporation
$28
Sumitomo Pharma America, Inc.
$24
ARGENX US, INC.
$23
Merz Pharmaceuticals, LLC
$21
TG Therapeutics, Inc.
$21
ITF Therapeutics LLC
$19
Top 3 companies account for 22.3% of 2024 payments
All-time payments by company (2021-2024) ›
LivaNova USA, Inc.
$2,673
Novartis Pharmaceuticals Corporation
$552
EMD Serono, Inc.
$453
Lilly USA, LLC
$378
ABBVIE INC.
$367
Alexion Pharmaceuticals, Inc.
$321
IMPEL PHARMACEUTICALS INC.
$282
GENZYME CORPORATION
$280
SK Life Science, Inc.
$241
ARGENX US, INC.
$209
Teva Pharmaceuticals USA, Inc.
$207
Acorda Therapeutics, Inc
$207
Amgen Inc.
$204
Janssen Pharmaceuticals, Inc
$191
PFIZER INC.
$190
Genentech USA, Inc.
$183
Merz Pharmaceuticals, LLC
$180
Sumitomo Pharma America, Inc.
$161
ACADIA Pharmaceuticals Inc
$161
Neurelis, Inc.
$154
UCB, Inc.
$136
Lundbeck LLC
$133
Biogen, Inc.
$131
TG THERAPEUTICS, INC.
$130
UPSHER-SMITH LABORATORIES LLC
$120
AbbVie Inc.
$118
Biohaven Pharmaceutical Holding Company Ltd.
$100
Amneal Pharmaceuticals LLC
$88
Eisai Inc.
$88
Neurocrine Biosciences, Inc.
$83
Celgene Corporation
$81
Alnylam Pharmaceuticals Inc.
$78
Azurity Pharmaceuticals, Inc.
$63
Boston Scientific Corporation
$58
Sunovion Pharmaceuticals Inc.
$57
JAZZ PHARMACEUTICALS INC.
$57
Avion Pharmaceuticals
$53
Otsuka America Pharmaceutical, Inc.
$48
CSL Behring
$47
Biohaven Pharmaceuticals, Inc.
$45
Kyowa Kirin, Inc.
$34
Avanir Pharmaceuticals, Inc.
$34
Amylyx Pharmaceuticals, Inc.
$31
Currax Pharmaceuticals LLC
$30
E.R. Squibb & Sons, L.L.C.
$27
Corium, LLC
$23
Cala Health, Inc.
$23
TG Therapeutics, Inc.
$21
BANNER LIFE SCIENCES, LLC
$20
Horizon Therapeutics plc
$19
MDD US Operations, LLC
$19
Octapharma USA, Inc.
$19
ITF Therapeutics LLC
$19
Allergan, Inc.
$14
Top 3 companies account for 38.2% of all-time payments
Associated products mentioned in payments ›
ADUHELM · AJOVY · AMYVID · APOKYN · APTIOM · AUBAGIO · AUSTEDO · Adlarity · Aimovig · Austedo XR · BAFIERTAM · BOTOX · BRIUMVI · Briviact · CALA TRIO · CONTRAVE · Crysvita · Dhivy · EMGALITY · EPIDIOLEX · GILENYA · HORIZANT · Hizentra · Horizant · INBRIJA · INGREZZA · KESIMPTA · KYNMOBI · Leqembi · MAVENCLAD · Mavenclad · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Nuedexta · OCREVUS · ONPATTRO · Ocrevus · Ongentys · PANZYGA · Ponvory · QULIPTA · RELYVRIO · REXULTI · RYTARY · SOLIRIS · Soliris · TOSYMRA · TYSABRI · Trudhesa · UBRELVY · ULTOMIRIS · UPLIZNA · VALTOCO · VNS - Sentiva · VNS THERAPY SENTIVA MODEL 1000 GENERATOR · VNS Therapy · VUMERITY · VYALEV · VYVGART · VYVGART HYTRULO · XCOPRI · Xeomin · ZEMBRACE SYMTOUCH · ZEPOSIA · Zilbrysq
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 3% for physician assistant in WA.

Looking for a physician assistant in Silverdale?
Compare physician assistants in the Silverdale area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Physician assistants within 10 mi
739
Per 100K population
267.2
County median income
$98,546
Nearest hospital
HARRISON MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public 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. Estrada is a mixed practice specialist, with above-average Medicare volume (top 1% in WA), with low-engagement industry engagement in the top 3% of WA peers, with 20 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. Estrada experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Estrada performed 13,400 botox injection, per unit services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Estrada receive payments from pharmaceutical companies?
Yes. Dr. Estrada received a total of $9,636 from 54 companies across 357 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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. Estrada's costs compare to other physician assistants in Silverdale?
Dr. Estrada's average Medicare payment per service is $7. 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. Estrada) 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →