Renato Sandoval, MD
Endocrinology, Diabetes & Metabolism · Blue Springs, MONPI 1932145448
Payments from drug & device makers
Across 9 payments — averaging $39.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Tandem Diabetes Care, Inc.$146
- Boston Scientific$125
- Ascensia Diabetes Care US Inc.$48
- Lifescan, Inc.$22
- Pfizer$15
What the payments were for
- Food & beverage$30787%
- Education$4813%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Tandem Diabetes Care, Inc. | 4 | $146 |
| Boston Scientific | 1 | $125 |
| Ascensia Diabetes Care US Inc. | 2 | $48 |
| Lifescan, Inc. | 1 | $22 |
| Pfizer | 1 | $15 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$355 in reported general payments places this provider in the 25th percentile of 182 endocrinology, diabetes & metabolism providers in Missouri.
See all endocrinology, diabetes & metabolism providers in Missouri →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 1,042 | $1,405,833 |
| JardianceEmpagliflozin | 868 | $943,656 |
| MounjaroTirzepatide | 553 | $782,952 |
| TrulicityDulaglutide | 171 | $251,475 |
| Tresiba Flextouch U-200Insulin Degludec | 155 | $176,898 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 200 | $174,150 |
| Tresiba Flextouch U-100Insulin Degludec | 196 | $164,528 |
| FarxigaDapagliflozin Propanediol | 162 | $148,713 |
| JanuviaSitagliptin Phosphate | 112 | $90,276 |
| Humalog Kwikpen U-100Insulin Lispro | 227 | $89,715 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 591 | $89,412 |
| Humulin R U-500Insulin Regular, Human | 28 | $83,643 |
| Humalog Kwikpen U-200Insulin Lispro | 35 | $73,210 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 36 | $70,038 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 146 | $66,084 |
Paid to pharmacies, not to this prescriber.
Other endocrinology, diabetes & metabolism in Blue Springs
- Adam MaghrabiBlue Springs$120K
- Ralph DudaSpringfield$3M
- Thomas NickolasSaint Louis$945K
- Anne GoldbergSaint Louis$830K
- Janet McGillSaint Louis$828K
- Christopher CaseJefferson City$692K
- Gregory LedgerSpringfield$690K
- Karen Chang-ChenChesterfield$640K
- Alan RaubaJefferson City$594K
- Julie SilversteinSaint Louis$536K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.