Clinic
DR. Sean Dougherty, DPM, INC.
DR. Sean Dougherty, DPM, INC. was paid $69K by Medicaid between Jan 2021 and Oct 2022, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoDR. SEAN DOUGHERTY, DPM, INC.
FAIRFIELD, CA 94533
FAIRFIELD, CA 94533
33aNPI1518573310assigned 09/17/2020
33bProvider typePodiatric Clinic/Center
28Total paid$69K
24GClaims2,447
24DCodes billed7
24AFirst – last monthJan 2021 – Oct 2022
Compared with peers
Next to other Podiatric Clinic/Center providers in California
Rank by total paid#10 of 40
Median peer was paid$6K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2021 | 1,454 | $30K | |
| 2022 | 993 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 665 | 615 | $25K |
| 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 | 28% | 245 | 238 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 627 | 591 | $12K |
| 11721 | 8.7% | 377 | 370 | $6K | |
| 73630 | 4.2% | 213 | 123 | $3K | |
| 11056 | 2.7% | 174 | 171 | $2K | |
| 11057 | 2.3% | 146 | 146 | $2K |
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 officialDOUGHERTY, SEAN (OWNER)