Physician
Diamond, Sean
Diamond, Sean was paid $113K by Medicaid between Feb 2018 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.
33Billing provider infoDIAMOND, SEAN
MAYWOOD, IL 60153
MAYWOOD, IL 60153
33aNPI1023082161assigned 02/15/2006
33bProvider typePediatrics Physician
28Total paid$113K
24GClaims2,199
24DCodes billed6
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#699 of 1,805
Median peer was paid$55K
This provider vs. median2.0×
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 | 118 | $5K | |
| 2019 | 229 | $10K | |
| 2020 | 128 | $6K | |
| 2021 | 356 | $19K | |
| 2022 | 407 | $20K | |
| 2023 | 388 | $19K | |
| 2024incomplete | 573 | $33K |
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 | 88% | 1,984 | 1,654 | $99K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.7% | 143 | 133 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 20 | 12 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 16 | 14 | $1K |
| 90656 | <1% | 24 | 23 | $165.20 | |
| 90686 | <1% | 12 | 12 | $87.11 |
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.