Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Altoona › NPI 1023335320
Physician

Hampton, Sean

Hampton, Sean was paid $89K by Medicaid between Sep 2018 and Jun 2021, across 14 billing codes. Its largest line is 97140, Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) — 22% of everything it billed.

33Billing provider infoHAMPTON, SEAN
ALTOONA, PA 16602
33aNPI1023335320assigned 04/26/2010
28Total paid$89K
24GClaims4,243
24DCodes billed14
24AFirst – last monthSep 2018 – Jun 2021
Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#679 of 2,756
Median peer was paid$19K
This provider vs. median4.6×

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$10K$20K2018201920202021202220232024
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
201832$996.24
201929$936.75
20201,083$24K
20213,099$63K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 22% 749 178 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19% 824 200 $17K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 16% 849 205 $14K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 14% 748 177 $13K
S9088 Services provided in an urgent care center (list in addition to code for service) 6.2% 193 193 $6K
97016 5.1% 388 58 $5K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.6% 36 36 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3.4% 90 90 $3K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.3% 39 39 $3K
97032 2.8% 213 56 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.5% 51 51 $2K
76942 1.8% 21 12 $2K
2 more codes
20550 <1% 21 $176.00
20553 0% 21 $0.00

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.