Spears, Thomas

Spears, Thomas was paid $24K by Medicaid between Mar 2018 and Oct 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.

33Billing provider infoSPEARS, THOMAS
HUNTINGTON STATION, NY 11746

33aNPI1700883667assigned 07/06/2005

33bProvider typeUrology Physician

28Total paid$24K

24GClaims724

24DCodes billed2

24AFirst – last monthMar 2018 – Oct 2024

Compared with peers

Next to other Urology Physician providers in New York

Rank by total paid#143 of 461

Median peer was paid$6K

This provider vs. median4.1×

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	40	$761.51
2019	126	$2K
2020	153	$5K
2021	138	$5K
2022	75	$3K
2023	132	$6K
2024incomplete	60	$2K

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	94%	711	680	$22K
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	6.4%	13	13	$1K

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.