Sheinman, Marc

Sheinman, Marc was paid $25K by Medicaid between Jan 2020 and Sep 2021, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 72% of everything it billed.

33Billing provider infoSHEINMAN, MARC
ALTAMONTE SPRINGS, FL 32701

33aNPI1215377486assigned 07/02/2013

33bProvider typeGastroenterology Physician

28Total paid$25K

24GClaims193

24DCodes billed5

24AFirst – last monthJan 2020 – Sep 2021

Compared with peers

Next to other Gastroenterology Physician providers in Florida

Rank by total paid#89 of 166

Median peer was paid$27K

This provider vs. median0.9×

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	107	$11K
2021	86	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	72%	97	90	$18K
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	12%	54	43	$3K
45380	Colonoscopy, flexible; with biopsy, single or multiple	8.7%	14	14	$2K
99244	Office or other outpatient consultation, moderate to high complexity	5.2%	12	12	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.7%	16	12	$419.54

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.