Spearman, Michael

Spearman, Michael was paid $25K by Medicaid between Apr 2018 and Jul 2019, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.

33Billing provider infoSPEARMAN, MICHAEL
OVERLAND, MO 63114

33aNPI1164598579assigned 11/28/2006

33bProvider typeInternal Medicine Physician

28Total paid$25K

24GClaims202

24DCodes billed3

24AFirst – last monthApr 2018 – Jul 2019

Compared with peers

Next to other Internal Medicine Physician providers in Missouri

Rank by total paid#153 of 364

Median peer was paid$10K

This provider vs. median2.4×

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	173	$20K
2019	29	$5K

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	87%	148	142	$21K
80053	Comprehensive metabolic panel	6.9%	26	26	$2K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	6.0%	28	28	$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.