Fullerton, Sean

Fullerton, Sean was paid $6K by Medicaid between May 2018 and Oct 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.

33Billing provider infoFULLERTON, SEAN
HAWTHORNE, NY 10532

33aNPI1124205398assigned 01/29/2008

33bProvider typeUrology Physician

28Total paid$6K

24GClaims471

24DCodes billed2

24AFirst – last monthMay 2018 – Oct 2024

Compared with peers

Next to other Urology Physician providers in New York

Rank by total paid#228 of 461

Median peer was paid$6K

This provider vs. median1.0×

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	107	$887.32
2019	61	$839.94
2020	14	$147.60
2021	72	$546.64
2022	42	$476.03
2023	16	$133.48
2024incomplete	159	$3K

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	81%	359	351	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	19%	112	112	$1K

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.