Physician
Carroll, Sean
Carroll, Sean was paid $112K by Medicaid between Dec 2020 and Nov 2024, across 13 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 34% of everything it billed.
33Billing provider infoCARROLL, SEAN
ERIE, PA 16507
ERIE, PA 16507
33aNPI1194776047assigned 05/15/2006
33bProvider typeOtolaryngology/Facial Plastic Surgery Physician
28Total paid$112K
24GClaims3,549
24DCodes billed13
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Otolaryngology/Facial Plastic Surgery Physician providers in Pennsylvania
Rank by total paid#2 of 12
Median peer was paid$3K
This provider vs. median38×
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 | 34 | $635.68 | |
| 2021 | 688 | $17K | |
| 2022 | 685 | $14K | |
| 2023 | 783 | $38K | |
| 2024incomplete | 1,359 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 34% | 790 | 783 | $39K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 905 | 874 | $28K |
| 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 | 13% | 159 | 159 | $14K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 8.9% | 78 | 76 | $10K |
| 99243 | 5.0% | 73 | 73 | $6K | |
| 95117 | 4.7% | 903 | 513 | $5K | |
| 69210 | 2.9% | 189 | 184 | $3K | |
| 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 | 2.4% | 53 | 52 | $3K |
| 31575 | 1.8% | 32 | 32 | $2K | |
| 92567 | 1.1% | 115 | 115 | $1K | |
| 31231 | <1% | 13 | 13 | $777.00 | |
| 95115 | <1% | 210 | 172 | $696.55 |
1 more codes
| 3061F | 0% | 29 | $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.