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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPetronilo Seares
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    Petronilo Seares — Billing Profile & Reimbursement Data

    NPI 1831135110 · Brick, NJ · Internal Medicine Physician

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    Petronilo Seares is a internal medicine physician provider located in Brick, New Jersey. This profile covers 22 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPetronilo Seares
    Address35 Beaverson Blvd
    CityBrick
    StateNJ
    ZIP08723
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 22, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$198.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…580$100$56.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit270$140$37K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…350$50$18.7K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.260$50$11.7K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…260$40$11.1K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…140$70$9.7K
    G9187Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not…220$40$8.5K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…30$240$6.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…40$150$6.3K
    G0008Administration of influenza virus vaccine170$30$5.6K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,57513,640130$90$23.6K
    99490126490170$50$16.6K
    992135,73514,090100$70$13.1K
    992151,8043,75040$140$12K
    99457106330160$40$11.9K
    G04392283,37070$120$11.5K
    9945486300140$40$11.3K
    9949619565020$210$5.8K
    G9187110140$40$5.5K
    9944327639030$90$5.5K

    Showing 1–10 of 22

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Petronilo Seares, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Subodh AgrawalGACardiovascular Disease Physician$1.1M$0
    David BoguslavskyNJFamily Medicine Physician$1.1M$0
    Angampally RajeevGAInterventional Cardiology Physician$1M$0
    Ramzi GhosnGAFamily Medicine Physician$581.2K$0
    Yisrael KadoshNJCardiovascular Disease Physician$543.4K$0
    Normy DessalinesNJInternal Medicine Physician$463.6K$16.7K
    Galina VaynerGAInternal Medicine Physician$477.3K$0
    Aziz PiraniGAFamily Medicine Physician$391.9K$0
    Michael PeacockGAInternal Medicine Physician$351.1K$0
    Maria MarkarianMIInterventional Cardiology Physician$340.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Petronilo Seares, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Association For The Multiple Impaired Blind, Inc.NJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$73.8M
    Affinity Care Of Nj LLCNJCommunity Based Hospice Care Agency$0$11.9M
    Ocean Monmouth Care, LLCNJMethadone Clinic$555.9K$10.8M
    Signature Behavioral Health LLCNJMental Health Clinic/Center (Including Community Mental Health Center)$0$9.2M
    The Arc Ocean County Chapter, Inc.NJDevelopmentally Disabled Services Day Training Agency$0$7.9M
    Jasper Ambulatory Surgical Center LLCNJAmbulatory Surgical Clinic/Center$2M$0
    Township Of BrickNJLand Ambulance$670.2K$392.1K
    Thomas KomorowskiNJCardiovascular Disease Physician$883.5K$0
    Leonard SandlerNJCardiovascular Disease Physician$856.3K$0
    Diosdado Non Medical Services LLCNJAnatomic Pathology Physician$454.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Petronilo Seares — 2 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey