Supplier
M Douglas Sefcik DPM LLC
M Douglas Sefcik DPM LLC was paid $577K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoM DOUGLAS SEFCIK DPM LLC
LAS CRUCES, NM 88001
LAS CRUCES, NM 88001
33aNPI1043730799assigned 06/23/2017
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$577K
24GClaims9,825
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in New Mexico
Rank by total paid#14 of 69
Median peer was paid$46K
This provider vs. median12×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,203 | $53K | |
| 2019 | 1,568 | $83K | |
| 2020 | 1,351 | $84K | |
| 2021 | 1,433 | $81K | |
| 2022 | 1,505 | $85K | |
| 2023 | 1,372 | $88K | |
| 2024incomplete | 1,393 | $104K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 54% | 5,778 | 5,324 | $314K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 33% | 2,113 | 2,095 | $188K |
| 11750 | 3.8% | 166 | 121 | $22K | |
| 73620 | 3.2% | 860 | 671 | $19K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.1% | 115 | 115 | $6K |
| 20550 | 1.1% | 122 | 106 | $6K | |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | <1% | 76 | 38 | $5K |
| 99347 | <1% | 164 | 158 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 143 | 134 | $4K |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | <1% | 75 | 38 | $3K |
| 99334 | <1% | 156 | 154 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 57 | 55 | $2K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSEFCIK, MICHAEL (OWNER)