Spearman MD INC.

Spearman MD INC. was paid $1.19M by Medicaid between Sep 2019 and Nov 2024, across 21 billing codes. Its largest line is 36465, — 46% of everything it billed.

33Billing provider infoSPEARMAN MD INC.
PISMO BEACH, CA 93449

33aNPI1508249202assigned 06/30/2015

33bProvider typeVascular & Interventional Radiology Physician

28Total paid$1.19M

24GClaims4,343

24DCodes billed21

24AFirst – last monthSep 2019 – Nov 2024

Compared with peers

Next to other Vascular & Interventional Radiology Physician providers in California

Rank by total paid#11 of 81

Median peer was paid$6K

This provider vs. median200×

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
2019	26	$1K
2020	632	$32K
2021	629	$41K
2022	1,059	$245K
2023	1,124	$385K
2024incomplete	873	$489K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
36465		46%	586	368	$553K
36482		28%	223	121	$335K
93970		14%	1,222	1,218	$168K
36478		3.2%	36	25	$38K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.1%	257	255	$25K
93923		1.7%	382	365	$21K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.2%	703	702	$14K
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%	202	193	$10K
93925		<1%	148	143	$9K
93971		<1%	59	59	$7K
76970		<1%	152	136	$5K
36471		<1%	78	61	$4K

9 more codes

76942		<1%	30	$1K
A6021	Collagen dressing, sterile, size 16 sq. in. or less, each	<1%	39	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	14	$741.38
1036F		0%	14	$0.00
G2197	Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user	0%	66	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	14	$0.00
G9622	Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method	0%	66	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	27	$0.00
4040F		0%	25	$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.

From NPPES

Who's on the registration

Authorized officialSPEARMAN, KENNETH (PRESIDENT)