Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Egan, Sean

Egan, Sean was paid $72K by Medicaid between Jan 2018 and Aug 2019, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.

33Billing provider infoEGAN, SEAN
WEST ORANGE, NJ 07052
33aNPI1164588711assigned 12/28/2006
33bProvider typeUrology Physician
28Total paid$72K
24GClaims1,677
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers

Next to other Urology Physician providers in New Jersey

Rank by total paid#11 of 35
Median peer was paid$14K
This provider vs. median5.0×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,288$60K
2019389$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 69% 485 479 $50K
99244 Office or other outpatient consultation, moderate to high complexity 15% 54 54 $11K
51798 13% 349 348 $9K
81003 3.3% 762 748 $2K
36415 Collection of venous blood by venipuncture <1% 27 27 $81.00

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.