Family Medicine · Alice, TX
NPI
1770862047
Since 2011
Specialty
Family Medicine
Code 207Q00000X
Group practices
1
Medicare group memberships
Hospitals
1
Hospital affiliations
779 N Texas Blvd
Alice, TX, 78332
Phone (361) 668-0919
Groups this clinician bills Medicare through
Medicare paid, 2024
$793K
14,519 services
Medicare patients, 2024
466
Average age 75
Drug cost, 2024
$3.2M
36,761 prescriptions
Company payments, 2025
$469
From 14 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Sergio S Cantu was code 99309 (snf e&m), 5,068 times for 206 patients. In total Sergio S Cantu billed 14,519 services in 50 codes, and Medicare paid $793K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2023-12-12.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99309 SNF E&M | Facility | 5,068 | 206 | $77.10 | $391K |
| J1100 Injection, dexamethasone sodium phosphate, 1 mg | Office | 1,251 | 66 | $0.08 | $99.26 |
| 99308 SNF E&M | Facility | 1,051 | 141 | $53.33 | $56K |
| 99490 Chronic, Principal, and Transitional Care Management | Facility | 814 | 107 | $37.18 | $30K |
| 99214 Office E&M - Established | Office | 731 | 194 | $80.39 | $59K |
| 99497 Care Management/Coordination | Office | 665 | 249 | $52.98 | $35K |
| 99497 Care Management/Coordination | Facility | 620 | 202 | $54.23 | $34K |
| G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow | Office | 612 | 95 | $77.06 | $47K |
| 99490 Chronic, Principal, and Transitional Care Management | Office | 489 | 178 | $42.64 | $21K |
| J1885 Injection, ketorolac tromethamine, per 15 mg | Office | 436 | 54 | $0.48 | $208 |
| 96372 Injection Administration | Office | 334 | 87 | $9.39 | $3,137 |
| G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | Office | 307 | 89 | $29.28 | $8,990 |
| 99349 Home E&M - New and Established | Office | 279 | 59 | $83.87 | $23K |
| G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | Office | 200 | 113 | $12.19 | $2,439 |
| J0696 Injection, ceftriaxone sodium, per 250 mg | Office | 160 | 36 | $0.34 | $53.79 |
By year: 2022 $1.1M for 20,158 services; 2023 $1.1M for 17,313 services; 2024 $793K for 14,519 services.
Lab tests billed to Medicare, 2024
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 81003 Clinical Chemistry | 25 | 23 | $2.20 | $55 |
Medicare prescription drug claims, 2024
In 2024, the drug Sergio S Cantu prescribed most often to Medicare patients was Levothyroxine Sodium, with 1,909 prescriptions and refills. In total Sergio S Cantu wrote 36,761 Medicare prescriptions that cost $3.2M.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Levothyroxine Sodium Generic | 1,909 | 2,620 | 371 | $17K |
| Atorvastatin Calcium Generic | 1,644 | 2,569 | 387 | $14K |
| Clopidogrel Clopidogrel Bisulfate | 1,042 | 1,519 | 216 | $10K |
| Gabapentin Generic | 930 | 1,176 | 191 | $13K |
| Lisinopril Generic | 911 | 1,371 | 196 | $6,226 |
| Potassium Chloride Generic | 906 | 1,049 | 152 | $25K |
| Memantine Hcl Generic | 904 | 994 | 112 | $18K |
| Pantoprazole Sodium Generic | 851 | 1,371 | 250 | $11K |
| Donepezil Hcl Generic | 829 | 940 | 114 | $8,023 |
| Amlodipine Besylate Generic | 825 | 1,246 | 190 | $5,423 |
| Furosemide Generic | 775 | 999 | 151 | $4,937 |
| Trazodone Hcl Generic | 671 | 754 | 104 | $5,322 |
| Losartan Potassium Generic | 598 | 985 | 146 | $5,336 |
| Metformin Hcl Generic | 553 | 919 | 153 | $3,524 |
| Tamsulosin Hcl Generic | 540 | 782 | 108 | $5,263 |
Brand drugs: 4,732 claims; generic drugs: 31,836 claims; opioid claims: 537.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Sergio S Cantu $469 ($469 in general payments such as food, travel and fees) from 14 companies. The largest payer was Novo Nordisk Inc with $90.57.
| Company | Payments | Amount |
|---|---|---|
| Novo Nordisk Inc NVO | 5 | $90.57 |
| Exact Sciences Corporation EXAS | 3 | $54.82 |
| Sumitomo Pharma America, Inc. 4506.T | 2 | $46.04 |
| GlaxoSmithKline, LLC. GSK | 2 | $40.37 |
| Kowa Pharmaceuticals America, Inc. | 2 | $40.16 |
| Boston Scientific Corporation BSX | 1 | $27.26 |
| Otsuka America Pharmaceutical, Inc. 4578.T | 1 | $27.26 |
| Bayer Healthcare Pharmaceuticals Inc. BAYN.DE | 1 | $24.73 |
| Lundbeck LLC | 1 | $24.34 |
| Lilly USA, LLC LLY | 1 | $22.13 |
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.