Seman, Thomas Matthew

Seman, Thomas Matthew was paid $50K by Medicaid between Feb 2019 and Dec 2022, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.

33Billing provider infoSEMAN, THOMAS MATTHEW
DANVERS, MA 01923

33aNPI1891894671assigned 09/21/2006

33bProvider typePediatrics Physician

28Total paid$50K

24GClaims798

24DCodes billed2

24AFirst – last monthFeb 2019 – Dec 2022

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#497 of 1,273

Median peer was paid$24K

This provider vs. median2.1×

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
2019	215	$12K
2020	281	$17K
2021	290	$20K
2022	12	$700.92

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	82%	718	608	$41K
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%	80	67	$9K

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.