Medicare Procedure and Patient Information
2012 Medicare Procedure Volume
Volume of procedures performed by Dr. Howard M. Sandler, MD for Medicare patients.
| doctor visit | 182 |
|---|
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Dr. Howard M. Sandler, MD is a general practitioner in Los Angeles, CA specializing in general practice and radiation oncology. Dr. Howard M. Sandler, MD is affiliated with Providence and Cedars-Sinai.
External Beam Radiation Therapy (EBRT)
External beam radiation therapy (EBRT) is a type of cancer treatment that delivers radiation from outside of the body. The goal of EBRT is to destroy cancer cells and shrink tumors, although it may also be used to alleviate symptoms rather than cure cancer.
EBRT can be delivered through several different methods, which may be combined or used alone. The type and length of treatment vary based on the location of the cancer or tumor and its size. Techniques for EBRT include:
Typically, patients will undergo treatment for five days a week over the course of several weeks, and they should be able to go home the same day. Each session can take less than an hour, with most of the time spent determining proper positioning of the body. Actual delivery of the radiation may only take a few minutes, and patients will wear a lead shield to protect healthy body tissues while receiving their treatment.
EBRT is painless, but it does come with some side effects, such as fatigue. Over the course of the therapy, oncologists will monitor patients' conditions and adjust their dosage, number of sessions, and length of treatment based on their body's response to the radiation.
Prostate Brachytherapy
Prostate brachytherapy is a type of internal radiation therapy used to treat prostate cancer. Brachytherapy and other internal radiation therapies place radioactive material inside of the body so that radiation can be released directly in the area of the cancer or tumor. Prostate brachytherapy uses radioactive seeds or pellets implanted into the prostate gland using thin tubes (catheters) or needles. The seed implants can be left in temporarily (temporary brachytherapy), meaning all radioactive material is removed following a treatment session, or they may be left in permanently (permanent brachytherapy). Permanent brachytherapy seeds will give off radiation slowly over the course of several weeks or months. Because radioactivity lessens over time, eventually, the amount of radiation released will become negligible, and the seeds will remain in the prostate gland without causing any side effects.
A group of doctors, including a radiation oncologist, will determine the details of a patient's treatment plan, such as length of treatment and whether they will receive low dose rate or high dose rate brachytherapy. Low dose rate brachytherapy may be temporary or permanent. If temporary, patients will remain in the hospital for several days while the radiation is delivered to their prostate gland through catheters or needles. In contrast, high dose rate brachytherapy delivers a high amount of radiation over a period of about thirty minutes, after which the radioactive materials are removed from the prostate. High dose rate brachytherapy is always temporary. Patients may receive a single treatment session, or treatment may continue in multiple sessions. Sessions can occur either in a single day or across several days, during which patients remain in the hospital.
Typically, patients can return home within hours following treatment, although an overnight hospital stay may be required. Side effects from prostate brachytherapy are temporary and may include erectile dysfunction, pelvic pain, fatigue, and urinary incontinence. If a patient feels pain or swelling where the needles or catheters were inserted, it may help them to avoid activities such as bike riding. Normal activity can be resumed within days of the procedure.
Radioembolization (Selective Internal Radiation Therapy)
Radioembolization, or selective internal radiation therapy (SIRT), is a minimally invasive procedure that uses radiation to treat liver tumors. By targeting the hepatic artery, or the main blood vessel that supplies the liver, radioembolization can cut off the blood supply to liver tumors. The tumors shrink, and minimal damage is done to healthy tissue. Radioembolization is a treatment option for tumors that cannot be removed by surgery or other radiation therapies, for liver cancer that is confined to the liver, or for liver cancer patients that have more than 3 months of life expectancy.
To perform radioembolization, a catheter is inserted into an artery in the groin and threaded to the liver. Radioactive beads, or pellets, are delivered through the catheter. The pellets will continuously deliver radiation for 10-14 days. The pellets will remain in the body permanently without causing any complications. If the tumor or cancer is confined to one portion of the liver, radioembolization will be performed in one treatment session. If both sides of the liver are affected, a second treatment session will be done about 8 weeks after the first.
Typically, most patients can return home and do light activity within hours following the procedure. Patients will be given medication to treat any possible side effects, which can include nausea, fever, abdominal pain, or tiredness.
Volume of procedures performed by Dr. Howard M. Sandler, MD for Medicare patients.
| doctor visit | 182 |
|---|
Volume of procedures performed by Dr. Howard M. Sandler, MD for Medicare patients.
| doctor visit | 190 |
|---|
Information about Medicare patients treated by Dr. Howard M. Sandler, MD.
| Male | 142 |
|---|---|
| Female | 38 |
| Non-Hispanic White | 136 |
|---|---|
| Black | 0 |
| Hispanic | 16 |
| Asian | 12 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 81 |
|---|---|
| From 75 to 84 | 64 |
| 85 and over | 19 |
| Less than 65 | 16 |
| Hypertension | 69 |
|---|---|
| High Cholesterol | 56 |
| Stroke | 7 |
| Ischemic Heart Disease | 44 |
| Depression | 31 |
| Chronic Kidney Disease | 24 |
| Asthma | 0 |
| Osteoperosis | 11 |
| Atrial Fibrilation | 12 |
| Heart Failure | 21 |
| Chronic Obstructive Pulmonary Disease | 11 |
| Diabetes | 28 |
| Dementia | 11 |
| Cancer | 72 |
Volume of procedures performed by Dr. Howard M. Sandler, MD for Medicare patients.
| doctor visit | 213 |
|---|
Information about Medicare patients treated by Dr. Howard M. Sandler, MD.
| Male | 120 |
|---|---|
| Female | 37 |
| Non-Hispanic White | 121 |
|---|---|
| Black | 15 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 70 |
|---|---|
| From 75 to 84 | 62 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 64 |
|---|---|
| High Cholesterol | 59 |
| Stroke | 0 |
| Ischemic Heart Disease | 46 |
| Depression | 27 |
| Chronic Kidney Disease | 31 |
| Asthma | 8 |
| Osteoperosis | 12 |
| Atrial Fibrilation | 9 |
| Heart Failure | 22 |
| Chronic Obstructive Pulmonary Disease | 11 |
| Diabetes | 24 |
| Dementia | 8 |
| Cancer | 71 |
Volume of procedures performed by Dr. Howard M. Sandler, MD for Medicare patients.
| doctor visit | 212 |
|---|
Information about Medicare patients treated by Dr. Howard M. Sandler, MD.
| Male | 274 |
|---|---|
| Female | 100 |
| Non-Hispanic White | 280 |
|---|---|
| Black | 32 |
| Hispanic | 24 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 176 |
|---|---|
| From 75 to 84 | 132 |
| 85 and over | 42 |
| Less than 65 | 24 |
| Hypertension | 67 |
|---|---|
| High Cholesterol | 65 |
| Stroke | 7 |
| Ischemic Heart Disease | 47 |
| Depression | 22 |
| Chronic Kidney Disease | 36 |
| Asthma | 9 |
| Osteoperosis | 14 |
| Atrial Fibrilation | 7 |
| Heart Failure | 20 |
| Chronic Obstructive Pulmonary Disease | 11 |
| Diabetes | 30 |
| Dementia | 9 |
| Cancer | 74 |
The top procedures that Dr. Howard M. Sandler, MD treated as a general practitioner in Los Angeles, CA during 2016 were radiation therapy.
Volume of procedures performed by Dr. Howard M. Sandler, MD for Medicare patients.
| doctor visit | 279 |
|---|---|
| radiation therapy | 13 |
Information about Medicare patients treated by Dr. Howard M. Sandler, MD.
| Male | 154 |
|---|---|
| Female | 42 |
| Non-Hispanic White | 147 |
|---|---|
| Black | 20 |
| Hispanic | 11 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 91 |
|---|---|
| From 75 to 84 | 73 |
| 85 and over | 19 |
| Less than 65 | 13 |
| Hypertension | 69 |
|---|---|
| High Cholesterol | 61 |
| Stroke | 6 |
| Ischemic Heart Disease | 53 |
| Depression | 23 |
| Chronic Kidney Disease | 34 |
| Asthma | 19 |
| Osteoperosis | 9 |
| Atrial Fibrilation | 10 |
| Heart Failure | 27 |
| Chronic Obstructive Pulmonary Disease | 15 |
| Diabetes | 21 |
| Dementia | 11 |
| Cancer | 62 |
The top procedures that Dr. Howard M. Sandler, MD treated as a general practitioner in Los Angeles, CA during 2017 were radiation therapy.
Volume of procedures performed by Dr. Howard M. Sandler, MD for Medicare patients.
| doctor visit | 254 |
|---|---|
| radiation therapy | 17 |
Information about Medicare patients treated by Dr. Howard M. Sandler, MD.
| Male | 196 |
|---|---|
| Female | 64 |
| Non-Hispanic White | 162 |
|---|---|
| Black | 36 |
| Hispanic | 28 |
| Asian | 22 |
| Other | 12 |
| Native American | 0 |
| From 65 to 74 | 125 |
|---|---|
| From 75 to 84 | 99 |
| 85 and over | 22 |
| Less than 65 | 14 |
| Hypertension | 71 |
|---|---|
| High Cholesterol | 58 |
| Stroke | 7 |
| Ischemic Heart Disease | 51 |
| Depression | 27 |
| Chronic Kidney Disease | 37 |
| Asthma | 7 |
| Osteoperosis | 10 |
| Atrial Fibrilation | 10 |
| Heart Failure | 29 |
| Chronic Obstructive Pulmonary Disease | 13 |
| Diabetes | 38 |
| Dementia | 13 |
| Cancer | 75 |
Volume of procedures performed by Dr. Howard M. Sandler, MD for Medicare patients.
| doctor visit | 220 |
|---|
Information about Medicare patients treated by Dr. Howard M. Sandler, MD.
| Male | 161 |
|---|---|
| Female | 52 |
| Non-Hispanic White | 150 |
|---|---|
| Black | 27 |
| Hispanic | 15 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 109 |
|---|---|
| From 75 to 84 | 74 |
| 85 and over | 18 |
| Less than 65 | 12 |
| Hypertension | 67 |
|---|---|
| High Cholesterol | 63 |
| Stroke | 0 |
| Ischemic Heart Disease | 49 |
| Depression | 24 |
| Chronic Kidney Disease | 33 |
| Asthma | 8 |
| Osteoperosis | 12 |
| Atrial Fibrilation | 8 |
| Heart Failure | 20 |
| Chronic Obstructive Pulmonary Disease | 10 |
| Diabetes | 25 |
| Dementia | 10 |
| Cancer | 71 |
The top procedures that Dr. Howard M. Sandler, MD treated as a general practitioner in Los Angeles, CA during 2019 were radiation therapy.
Volume of procedures performed by Dr. Howard M. Sandler, MD for Medicare patients.
| doctor visit | 366 |
|---|---|
| radiation therapy | 11 |
Information about Medicare patients treated by Dr. Howard M. Sandler, MD.
| Male | 182 |
|---|---|
| Female | 62 |
| Non-Hispanic White | 159 |
|---|---|
| Black | 36 |
| Hispanic | 19 |
| Asian | 16 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 123 |
|---|---|
| From 75 to 84 | 91 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 72 |
|---|---|
| High Cholesterol | 69 |
| Stroke | 7 |
| Ischemic Heart Disease | 53 |
| Depression | 25 |
| Chronic Kidney Disease | 35 |
| Asthma | 8 |
| Osteoperosis | 7 |
| Atrial Fibrilation | 14 |
| Heart Failure | 23 |
| Chronic Obstructive Pulmonary Disease | 14 |
| Diabetes | 29 |
| Dementia | 11 |
| Cancer | 72 |
The top procedures that Dr. Howard M. Sandler, MD treated as a general practitioner in Los Angeles, CA during 2020 were radiation therapy.
Volume of procedures performed by Dr. Howard M. Sandler, MD for Medicare patients.
| doctor visit | 417 |
|---|---|
| radiation therapy | 14 |
Information about Medicare patients treated by Dr. Howard M. Sandler, MD.
| Male | 248 |
|---|---|
| Female | 81 |
| Non-Hispanic White | 241 |
|---|---|
| Black | 23 |
| Hispanic | 27 |
| Asian | 24 |
| Other | 14 |
| Native American | 0 |
| From 65 to 74 | 147 |
|---|---|
| From 75 to 84 | 126 |
| 85 and over | 35 |
| Less than 65 | 21 |
| Hypertension | 72 |
|---|---|
| High Cholesterol | 70 |
| Stroke | 6 |
| Ischemic Heart Disease | 56 |
| Depression | 26 |
| Chronic Kidney Disease | 37 |
| Asthma | 6 |
| Osteoperosis | 9 |
| Atrial Fibrilation | 11 |
| Heart Failure | 22 |
| Chronic Obstructive Pulmonary Disease | 13 |
| Diabetes | 33 |
| Dementia | 13 |
| Cancer | 71 |
Volume of procedures performed by Dr. Howard M. Sandler, MD for Medicare patients.
| doctor visit | 550 |
|---|
Information about Medicare patients treated by Dr. Howard M. Sandler, MD.
| Male | 316 |
|---|---|
| Female | 117 |
| Non-Hispanic White | 292 |
|---|---|
| Black | 49 |
| Hispanic | 31 |
| Asian | 34 |
| Other | 27 |
| Native American | 0 |
| From 65 to 74 | 205 |
|---|---|
| From 75 to 84 | 163 |
| 85 and over | 43 |
| Less than 65 | 22 |
| Hypertension | 70 |
|---|---|
| High Cholesterol | 67 |
| Stroke | 8 |
| Ischemic Heart Disease | 64 |
| Depression | 22 |
| Chronic Kidney Disease | 45 |
| Asthma | 8 |
| Osteoperosis | 7 |
| Atrial Fibrilation | 12 |
| Heart Failure | 28 |
| Chronic Obstructive Pulmonary Disease | 14 |
| Diabetes | 37 |
| Dementia | 14 |
| Cancer | 74 |
Volume of procedures performed by Dr. Howard M. Sandler, MD for Medicare patients.
| doctor visit | 586 |
|---|
Information about Medicare patients treated by Dr. Howard M. Sandler, MD.
| Non-Hispanic White | 149 |
|---|---|
| Black | 19 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 17 |
| Native American | 0 |
| From 65 to 74 | 102 |
|---|---|
| From 75 to 84 | 77 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 75 |
|---|---|
| High Cholesterol | 75 |
| Stroke | 7 |
| Ischemic Heart Disease | 47 |
| Depression | 14 |
| Chronic Kidney Disease | 22 |
| Asthma | 10 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 23 |
| Heart Failure | 18 |
| Chronic Obstructive Pulmonary Disease | 7 |
| Diabetes | 35 |
| Dementia | 0 |
| Cancer | 75 |
Volume of procedures performed by Dr. Howard M. Sandler, MD for Medicare patients.
The highest averages for the top procedures that Dr. Howard M. Sandler, MD treated as a general practitioner in Los Angeles, CA were radiation therapy.
| doctor visit | 315 |
|---|---|
| radiation therapy | 13 |
Information about Medicare patients treated by Dr. Howard M. Sandler, MD.
| Male | 163 |
|---|---|
| Female | 53 |
| Black / African American | 23 |
|---|---|
| Asian / Pacific Islander | 9 |
| Non-Hispanic White | 167 |
| Native American / Alaskan Native | 0 |
| Hispanic | 15 |
| Other | 6 |
| 75 to 84 | 87 |
|---|---|
| 85 and over | 18 |
| Less than 65 | 11 |
| 65 to 74 | 111 |
The highest averages of the most common conditions of Medicare patients that Dr. Howard M. Sandler, MD treated were cancer, hypertension, high cholesterol and ischemic heart disease.
| Hypertension | 63 |
|---|---|
| High Cholesterol | 58 |
| Stroke | 5 |
| Ischemic Heart Disease | 46 |
| Depression | 21 |
| Chronic Kidney Disease | 30 |
| Asthma | 7 |
| Osteoporosis | 8 |
| Heart Failure | 20 |
| Chronic Obstructive Pulmonary Disease | 10 |
| Diabetes | 27 |
| Atrial Fibrillation | 10 |
| Dementia | 9 |
| Cancer | 65 |
He is certified by the American Board of Radiology, Radiation Oncology and has a state license in Oregon.
Board Certification: American Board of Radiology, Radiation Oncology
Licensed In: Oregon
Dr. Howard M. Sandler, MD is associated with these hospitals and organizations:
Dr. Howard M. Sandler, MD appears to accept the following insurance providers: Anthem Blue Cross HMO, Aetna HMO, Blue Shield of California, United Healthcare HMO, Anthem, Medicare Advantage, Humana Medicare Advantage, Health Net HMO and CIGNA HMO.
According to our sources, Dr. Howard M. Sandler, MD accepts the following insurance providers:
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These charts describe general payments received by Dr. Howard M. Sandler, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
| SANOFI-AVENTIS U.S. LLC |
$40,968
JEVTANA $32,287 |
$8,680 |
||||
|---|---|---|---|---|---|---|
| Ferring Pharmaceuticals Inc. |
$31,669
FIRMAGON $31,669 |
|||||
| Janssen Research & Development, LLC |
$23,000
ARN-509 $271 |
$22,729 |
||||
| Medivation Inc. |
$9,928
XTANDI $9,928 |
|||||
| Bayer HealthCare Pharmaceuticals Inc. |
$8,021
Xofigo $8,021 |
|||||
| Other |
$29,542
ONCOLOGY GENERAL $7,259 |
Rituxan $5,000 |
PROVENGE $4,808 |
Axumin $2,717 |
NO PRODUCT DISCUSSED $486 |
Other $9,273 |
| Consulting Fee | $89,092 |
|---|---|
| Travel and Lodging | $36,420 |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $9,927 |
| Compensation for serving as faculty or as a speaker for a non-accredited and noncertified continuing education program | $4,000 |
| Food and Beverage | $3,689 |
Dr. Howard M. Sandler, MD has received 39 research payments totaling $153,967.
Dr. Howard Sandler specializes in general practice and radiation oncology. He graduated from the University of Connecticut School of Medicine. Dr. Sandler's areas of expertise include radioembolization (selective internal radiation therapy), intensity-modulated radiation therapy (IMRT), and gamma knife radiosurgery. He appears to be an in-network provider for United Healthcare HMO, Anthem, and Blue California, in addition to other insurance carriers. Dr. Sandler has received professional recognition including the following: Southern California Super Doctors. He is affiliated with Providence and Cedars-Sinai. He has an open panel in Los Angeles, CA according to Yext.