Sears, Michael
Sears, Michael was paid $60K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.
33Billing provider infoSEARS, MICHAEL
PARAMUS, NJ 07652
PARAMUS, NJ 07652
33aNPI1902863152assigned 04/28/2006
33bProvider typePodiatrist
28Total paid$60K
24GClaims3,004
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Podiatrist providers in New Jersey
Rank by total paid#58 of 194
Median peer was paid$17K
This provider vs. median3.5×
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 | 290 | $8K | |
| 2019 | 507 | $12K | |
| 2020 | 610 | $12K | |
| 2021 | 515 | $12K | |
| 2022 | 303 | $5K | |
| 2023 | 440 | $7K | |
| 2024incomplete | 339 | $4K |
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% | 2,716 | 1,321 | $56K |
| 11721 | 2.6% | 174 | 149 | $2K | |
| 99223 | Prolong inpt eval add15 m | 2.0% | 64 | 53 | $1K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 37 | 25 | $421.16 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 13 | 12 | $397.01 |
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.