Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Galveston › NPI 1912107186
Physician

Fitzgerald, Sean

Fitzgerald, Sean was paid $1.99M by Medicaid between Jan 2018 and Oct 2024, across 152 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 20% of everything it billed.

33Billing provider infoFITZGERALD, SEAN
GALVESTON, TX 77554
33aNPI1912107186assigned 07/24/2007
28Total paid$1.99M
24GClaims257,834
24DCodes billed152
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Texas

Rank by total paid#5 of 97
Median peer was paid$24K
This provider vs. median85×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201836,362$225K
201937,531$214K
202027,993$161K
202136,601$452K
202247,088$484K
202334,951$268K
2024incomplete37,308$190K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 20% 7,141 5,829 $402K
80053 Comprehensive metabolic panel 6.5% 25,707 20,918 $130K
0202U Oncology (prostate), multianalyte, gene expression profiling 5.8% 477 456 $116K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4.9% 33,501 24,728 $97K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4.5% 4,161 4,020 $90K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4.5% 4,158 4,019 $90K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 3.5% 1,500 1,433 $69K
84443 Thyroid stimulating hormone (TSH) 2.7% 6,859 6,512 $54K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2.4% 2,079 1,800 $49K
87086 Culture, bacterial; quantitative colony count, urine 2.0% 8,139 7,519 $41K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.9% 1,028 921 $38K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.8% 1,105 984 $37K
140 more codes
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.8% 474 $36K
80048 Basic metabolic panel (calcium, ionized) 1.7% 8,240 $35K
87480 1.6% 2,601 $32K
87510 1.6% 2,596 $32K
83735 1.4% 8,065 $28K
82803 1.3% 2,551 $26K
87040 1.2% 2,541 $25K
87641 1.2% 1,041 $23K
83605 1.2% 4,130 $23K
87660 1.1% 2,754 $22K
82962 1.0% 10,842 $20K
87081 <1% 6,090 $17K
84484 <1% 3,360 $16K
82330 <1% 1,835 $16K
80061 Lipid panel <1% 4,677 $16K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 278 $15K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,047 $14K
87186 <1% 2,470 $14K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,801 $13K
85730 <1% 2,919 $12K
85610 <1% 5,626 $12K
86780 <1% 1,306 $11K
88341 <1% 214 $11K
83880 <1% 1,011 $11K
83036 Hemoglobin; glycosylated (A1C) <1% 3,258 $10K
83690 <1% 2,964 $10K
86850 <1% 3,031 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 688 $8K
81001 <1% 5,807 $8K
81025 <1% 4,101 $8K
80069 <1% 1,982 $8K
88342 <1% 527 $8K
84100 <1% 3,439 $8K
86901 <1% 3,295 $7K
84439 <1% 1,734 $7K
82607 <1% 1,224 $7K
88307 <1% 102 $7K
88189 <1% 117 $7K
87581 <1% 280 $6K
86140 <1% 2,824 $6K
86803 <1% 822 $6K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 281 $6K
82728 <1% 1,572 $6K
84466 <1% 1,414 $6K
87486 <1% 264 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 277 $6K
86900 <1% 3,279 $6K
87088 <1% 1,033 $6K
80202 <1% 735 $5K
85384 <1% 1,634 $5K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 186 $5K
87070 <1% 1,432 $5K
83970 <1% 295 $4K
82784 <1% 589 $4K
87147 <1% 2,527 $4K
82570 <1% 1,766 $4K
85379 <1% 1,117 $4K
83540 <1% 1,314 $4K
81003 <1% 3,557 $4K
85027 <1% 1,304 $4K
84702 <1% 830 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 481 $4K
82550 <1% 1,119 $4K
87340 <1% 549 $3K
86003 <1% 117 $3K
82746 <1% 533 $3K
85014 <1% 2,225 $3K
83615 <1% 919 $3K
83516 <1% 417 $2K
82805 <1% 91 $2K
86038 <1% 295 $2K
85652 <1% 1,672 $2K
87077 <1% 516 $2K
87205 <1% 953 $2K
80047 <1% 397 $2K
84703 <1% 512 $2K
82565 <1% 793 $2K
82043 <1% 905 $2K
84550 <1% 759 $2K
80076 <1% 424 $1K
86920 <1% 324 $1K
86762 <1% 298 $1K
85018 <1% 1,238 $1K
87493 <1% 57 $1K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 147 $1K
80074 <1% 72 $1K
83655 <1% 207 $1K
84478 <1% 483 $1K
84132 <1% 472 $1K
84156 <1% 814 $909.59
87075 <1% 133 $907.03
84295 <1% 451 $889.77
82248 <1% 432 $853.93
85045 <1% 608 $772.60
87522 Neg quan hep c or qual rna <1% 27 $754.65
84481 <1% 159 $754.48
84146 <1% 107 $704.55
82785 <1% 134 $644.52
86480 <1% 28 $636.30
87807 <1% 127 $634.75
87536 <1% 14 $608.30
82247 <1% 225 $549.77
82951 <1% 85 $533.63
82947 <1% 299 $458.85
88304 <1% 29 $429.88
82140 <1% 99 $425.72
86360 <1% 27 $380.43
84403 <1% 33 $372.88
84480 <1% 69 $362.52
86706 <1% 52 $358.40
85576 <1% 16 $346.04
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 27 $308.74
86359 <1% 26 $294.32
85347 <1% 106 $276.13
80164 <1% 59 $264.84
87102 <1% 48 $251.10
88141 <1% 27 $238.55
80306 <1% 34 $203.77
84145 <1% 13 $192.98
87899 <1% 15 $148.20
85049 <1% 114 $141.37
86880 <1% 39 $139.20
82077 <1% 13 $134.68
87184 <1% 26 $117.00
80177 <1% 25 $115.39
82533 <1% 13 $100.65
87210 <1% 28 $96.35
87427 <1% 15 $93.75
84300 <1% 46 $93.28
87045 <1% 15 $92.25
86431 <1% 27 $78.84
86308 <1% 30 $66.00
81015 <1% 57 $65.50
82950 <1% 26 $60.58
83020 <1% 12 $51.72
82272 <1% 54 $50.58
82009 <1% 31 $34.02
86592 <1% 13 $26.00
89050 <1% 12 $22.75
87046 <1% 15 $18.00

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.