Demarco, Sebastian

Demarco, Sebastian was paid $101K by Medicaid between Jun 2020 and Apr 2022, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoDEMARCO, SEBASTIAN
ALEXANDRIA, VA 22304

33aNPI1063807980assigned 03/30/2015

33bProvider typeDermatology Physician

28Total paid$101K

24GClaims781

24DCodes billed5

24AFirst – last monthJun 2020 – Apr 2022

Compared with peers

Next to other Dermatology Physician providers in Virginia

Rank by total paid#18 of 54

Median peer was paid$23K

This provider vs. median4.3×

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
2020	135	$13K
2021	495	$69K
2022	151	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	35%	273	267	$36K
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	29%	155	155	$29K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	21%	172	172	$21K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	166	165	$14K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.2%	15	15	$1K

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.