Internal Medicine, Infectious Disease · Victoria, TX
NPI
1265472906
Since 2006
Specialty
Internal Medicine, Infectious Disease
Code 207RI0200X
Group practices
4
Medicare group memberships
Hospitals
4
Hospital affiliations
2710 Hospital Dr, #310
Victoria, TX, 77901
Phone (361) 582-7925
Groups this clinician bills Medicare through
Medicare paid, 2024
$346K
4,397 services
Medicare patients, 2024
462
Average age 76
Drug cost, 2024
$760K
673 prescriptions
Company payments, 2025
$24K
From 15 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Miguel A Sierra-Hoffman was code 99232 (hospital e&m - subsequent), 2,612 times for 289 patients. In total Miguel A Sierra-Hoffman billed 4,397 services in 15 codes, and Medicare paid $346K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2015-01-09.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99232 Hospital E&M - Subsequent | Facility | 2,612 | 289 | $56.72 | $148K |
| 99233 Hospital E&M - Subsequent | Facility | 746 | 363 | $86.22 | $64K |
| 99291 Critical Care E&M | Facility | 569 | 131 | $158.30 | $90K |
| 99222 Hospital E&M - Initial | Facility | 311 | 273 | $92.73 | $29K |
| 99214 Office E&M - Established | Office | 42 | 33 | $88.95 | $3,736 |
| 99215 Office E&M - Established | Office | 38 | 33 | $123.75 | $4,702 |
| 99205 Office E&M - New | Office | 22 | 22 | $148.40 | $3,265 |
| 99213 Office E&M - Established | Office | 20 | 17 | $65.33 | $1,307 |
| 99212 Office E&M - Established | Office | 12 | 12 | $40.60 | $487 |
By year: 2022 $337K for 4,514 services; 2023 $296K for 3,795 services; 2024 $346K for 4,397 services.
Medicare prescription drug claims, 2024
In 2024, the drug Miguel A Sierra-Hoffman prescribed most often to Medicare patients was Montelukast Sodium, with 83 prescriptions and refills. In total Miguel A Sierra-Hoffman wrote 673 Medicare prescriptions that cost $760K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Montelukast Sodium Generic | 83 | 172 | 23 | $579 |
| Dexamethasone Generic | 32 | 32 | 24 | $222 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 25 | 31 | Under 11 | $20K |
| Azithromycin Generic | 21 | 31 | Under 11 | $524 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 21 | 24 | 13 | $577 |
| Bicillin L-A Penicillin G Benzathine | 19 | 29 | Under 11 | $20K |
| Ofev Nintedanib Esylate | 19 | 19 | Under 11 | $240K |
| Fluticasone-Salmeterol Fluticasone Propion/Salmeterol | 17 | 25 | Under 11 | $3,834 |
| Genvoya Elviteg/Cob/Emtri/Tenof Alafen | 17 | 17 | Under 11 | $65K |
| Prednisone Generic | 17 | 17 | Under 11 | $52.09 |
| Valacyclovir Valacyclovir Hcl | 15 | 15 | Under 11 | $236 |
| Linezolid Generic | 15 | 17 | Under 11 | $528 |
| Budesonide-Formoterol Fumarate Budesonide/Formoterol Fumarate | 14 | 17 | Under 11 | $2,668 |
| Fluconazole Generic | 13 | 13 | Under 11 | $183 |
| Entecavir Generic | 13 | 13 | Under 11 | $118 |
Brand drugs: 258 claims; generic drugs: 415 claims.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Miguel A Sierra-Hoffman $24K ($24K in general payments such as food, travel and fees) from 15 companies. The largest payer was Abbvie Inc. with $9,968.
| Company | Payments | Amount |
|---|---|---|
| Abbvie Inc. ABBV | 34 | $9,968 |
| La Jolla Pharmaceutical Company | 9 | $7,298 |
| Melinta Therapeutics, LLC | 17 | $4,923 |
| Insmed, Inc. INSM | 35 | $700 |
| Paratek Pharmaceuticals, Inc. | 7 | $167 |
| Shionogi Inc 4507.T | 1 | $125 |
| Viatris Specialty LLC | 4 | $107 |
| Merck Sharp & Dohme LLC MRK | 5 | $102 |
| Electromed, Inc. ELMD | 7 | $94.56 |
| Gilead Sciences, Inc. GILD | 3 | $60.34 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.