Shear, Michael

Shear, Michael was paid $43K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 54% of everything it billed.

33Billing provider infoSHEAR, MICHAEL
GARDNER, MA 01440

33aNPI1407016520assigned 06/12/2008

33bProvider typeEmergency Medicine Physician

28Total paid$43K

24GClaims570

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#152 of 618

Median peer was paid$8K

This provider vs. median5.2×

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	239	$20K
2019	25	$2K
2020	81	$6K
2021	28	$3K
2023	84	$6K
2024incomplete	113	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	54%	265	263	$23K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	19%	174	171	$8K
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	18%	92	91	$8K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	8.8%	39	39	$4K

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.