Physician
Sears Medical Associates
Sears Medical Associates was paid $2.59M by Medicaid between Apr 2020 and Dec 2024, across 30 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 69% of everything it billed.
33Billing provider infoSEARS MEDICAL ASSOCIATES
GAINESVILLE, TX 76240
GAINESVILLE, TX 76240
33aNPI1073551123assigned 06/02/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.59M
24GClaims49,800
24DCodes billed30
24AFirst – last monthApr 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#39 of 1,204
Median peer was paid$31K
This provider vs. median84×
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 | |
|---|---|---|---|
| 2020 | 2,322 | $108K | |
| 2021 | 14,450 | $677K | |
| 2022 | 11,950 | $620K | |
| 2023 | 11,468 | $640K | |
| 2024incomplete | 9,610 | $549K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 69% | 21,908 | 18,583 | $1.79M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.9% | 2,130 | 2,086 | $179K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 2,144 | 2,091 | $173K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 1,989 | 1,962 | $168K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 1,637 | 1,605 | $136K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.7% | 1,449 | 1,430 | $121K |
| 99381 | <1% | 173 | 171 | $13K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 796 | 753 | $7K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 134 | 120 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $966.81 |
| 90648 | <1% | 1,057 | 1,047 | $330.27 | |
| 90633 | <1% | 725 | 709 | $326.83 |
18 more codes
| 90686 | <1% | 213 | $164.57 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 8,401 | $88.86 |
| 90670 | <1% | 1,292 | $81.99 | |
| 90723 | <1% | 622 | $81.99 | |
| 90680 | <1% | 309 | $81.99 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 15 | $0.30 |
| 90734 | 0% | 376 | $0.00 | |
| 90710 | 0% | 634 | $0.00 | |
| 90461 | 0% | 2,995 | $0.00 | |
| 90715 | 0% | 114 | $0.00 | |
| 90700 | 0% | 127 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 40 | $0.00 |
| 90696 | 0% | 109 | $0.00 | |
| 90677 | 0% | 144 | $0.00 | |
| 90688 | 0% | 131 | $0.00 | |
| 90620 | 0% | 27 | $0.00 | |
| 90698 | 0% | 83 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 14 | $0.00 |
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 officialSEARS, LARRY (ADMINISTRATOR)