Clinic
Burt E Schear MD & Associates INC
Burt E Schear MD & Associates INC was paid $3.83M by Medicaid between Jan 2018 and Dec 2024, across 105 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoBURT E SCHEAR MD & ASSOCIATES INC
OAKWOOD, OH 45409
OAKWOOD, OH 45409
33aNPI1083882138assigned 02/12/2008
33bProvider typeClinic/Center
28Total paid$3.83M
24GClaims158,505
24DCodes billed105
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Ohio
Rank by total paid#5 of 70
Median peer was paid$140K
This provider vs. median27×
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 | 36,270 | $688K | |
| 2019 | 32,956 | $624K | |
| 2020 | 14,978 | $419K | |
| 2021 | 18,176 | $506K | |
| 2022 | 17,681 | $520K | |
| 2023 | 19,827 | $525K | |
| 2024incomplete | 18,617 | $548K |
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 | 52% | 51,038 | 41,512 | $1.99M |
| 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 | 20% | 13,901 | 11,899 | $766K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.3% | 2,922 | 2,648 | $163K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.1% | 2,095 | 1,926 | $120K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.8% | 7,961 | 3,489 | $108K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 1,748 | 1,642 | $81K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 1,587 | 1,502 | $74K |
| 99385 | 1.4% | 914 | 839 | $54K | |
| 99406 | 1.2% | 6,475 | 5,854 | $47K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.0% | 574 | 553 | $39K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 907 | 850 | $38K |
| 99401 | <1% | 1,941 | 1,699 | $38K |
93 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,210 | $34K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 777 | $31K |
| 99386 | <1% | 403 | $27K | |
| 82947 | <1% | 10,285 | $26K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 913 | $21K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,158 | $16K |
| 81003 | <1% | 9,354 | $15K | |
| 93000 | <1% | 1,049 | $14K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 321 | $13K |
| 85004 | <1% | 2,347 | $12K | |
| 82565 | <1% | 2,761 | $11K | |
| 99384 | <1% | 264 | $11K | |
| 84132 | <1% | 2,882 | $10K | |
| 80305 | <1% | 1,376 | $9K | |
| 81025 | <1% | 1,516 | $9K | |
| 84520 | <1% | 2,799 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 605 | $7K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,337 | $6K |
| 84460 | <1% | 832 | $3K | |
| 84450 | <1% | 842 | $3K | |
| 0001A | <1% | 40 | $3K | |
| 99383 | <1% | 60 | $3K | |
| 84295 | <1% | 734 | $3K | |
| 87428 | <1% | 87 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,517 | $2K |
| 99422 | <1% | 187 | $2K | |
| 99397 | <1% | 31 | $2K | |
| 82044 | <1% | 506 | $2K | |
| 85018 | <1% | 562 | $1K | |
| 0011A | <1% | 15 | $1K | |
| 82465 | <1% | 305 | $1K | |
| 99382 | <1% | 14 | $853.71 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 55 | $762.86 |
| 90686 | <1% | 143 | $362.44 | |
| 90619 | <1% | 38 | $360.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 18 | $282.64 |
| 92250 | <1% | 24 | $275.12 | |
| 90633 | <1% | 879 | $249.00 | |
| 90710 | <1% | 587 | $223.75 | |
| 90651 | <1% | 410 | $220.00 | |
| 90734 | <1% | 846 | $213.75 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 34 | $178.37 |
| 81002 | <1% | 59 | $142.21 | |
| 84439 | <1% | 17 | $141.94 | |
| 90715 | <1% | 468 | $122.75 | |
| 90670 | <1% | 391 | $105.50 | |
| 90744 | <1% | 182 | $98.25 | |
| 90746 | <1% | 13 | $70.41 | |
| 97802 | <1% | 14 | $43.22 | |
| 90698 | <1% | 100 | $32.75 | |
| G0180 | Physician or allowed practitioner 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 and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 14 | $20.94 |
| 90696 | <1% | 34 | $20.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 962 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,096 | $0.00 |
| 4040F | 0% | 457 | $0.00 | |
| 1159F | 0% | 380 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 79 | $0.00 |
| 3046F | 0% | 143 | $0.00 | |
| 4004F | 0% | 485 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 618 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,327 | $0.00 |
| 1160F | 0% | 155 | $0.00 | |
| 3078F | 0% | 162 | $0.00 | |
| 3077F | 0% | 494 | $0.00 | |
| 90707 | 0% | 43 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 33 | $0.00 |
| 90649 | 0% | 15 | $0.00 | |
| 91300 | 0% | 41 | $0.00 | |
| G8400 | Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given | 0% | 15 | $0.00 |
| 1123F | 0% | 717 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 317 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 587 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 754 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 47 | $0.00 |
| 90620 | 0% | 59 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 150 | $0.00 |
| 3017F | 0% | 1,382 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,107 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 301 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 29 | $0.00 |
| 1036F | 0% | 1,333 | $0.00 | |
| 90677 | 0% | 30 | $0.00 | |
| 3079F | 0% | 48 | $0.00 | |
| 3080F | 0% | 303 | $0.00 | |
| 90634 | 0% | 30 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 12 | $0.00 |
| 3074F | 0% | 80 | $0.00 | |
| 90723 | 0% | 19 | $0.00 | |
| 1038F | 0% | 14 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 13 | $0.00 |
| 1034F | 0% | 110 | $0.00 | |
| 91301 | 0% | 40 | $0.00 | |
| 90716 | 0% | 40 | $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 officialSCHEAR, MARTIN (PRESIDENT/OWNER)