Physician
Sheran, Michael
Sheran, Michael was paid $49K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoSHERAN, MICHAEL
KINGSTON, NY 12401
KINGSTON, NY 12401
33aNPI1609828250assigned 05/16/2006
33bProvider typeInternal Medicine Physician
28Total paid$49K
24GClaims4,591
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#1,742 of 6,049
Median peer was paid$11K
This provider vs. median4.3×
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 | 1,244 | $6K | |
| 2019 | 1,309 | $7K | |
| 2020 | 797 | $7K | |
| 2021 | 542 | $7K | |
| 2022 | 211 | $5K | |
| 2023 | 257 | $9K | |
| 2024incomplete | 231 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 61% | 1,273 | 1,135 | $30K |
| 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 | 39% | 495 | 474 | $19K |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 96 | 78 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 296 | 256 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 95 | 77 | $0.00 |
| 3017F | 0% | 347 | 296 | $0.00 | |
| 1036F | 0% | 267 | 230 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 63 | 56 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,039 | 884 | $0.00 |
| 4004F | 0% | 97 | 79 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 523 | 451 | $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.