Physician
Thomas, Sean
Thomas, Sean was paid $5K by Medicaid between Feb 2018 and Jul 2023, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoTHOMAS, SEAN
YUCCA VALLEY, CA 92284
YUCCA VALLEY, CA 92284
33aNPI1093725855assigned 08/08/2006
33bProvider typeGeneral Practice Physician
28Total paid$5K
24GClaims5,491
24DCodes billed10
24AFirst – last monthFeb 2018 – Jul 2023
Compared with peers
Next to other General Practice Physician providers in California
Rank by total paid#289 of 474
Median peer was paid$10K
This provider vs. median0.5×
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 | 375 | $47.52 | |
| 2019 | 2,265 | $2K | |
| 2020 | 1,269 | $623.24 | |
| 2021 | 575 | $95.04 | |
| 2022 | 494 | $338.40 | |
| 2023 | 513 | $2K |
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 | 61% | 4,816 | 4,148 | $3K |
| 99460 | 15% | 15 | 15 | $764.70 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 12% | 15 | 15 | $609.15 |
| 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 | 5.5% | 357 | 337 | $276.74 |
| 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 | 4.1% | 14 | 14 | $205.95 |
| 90670 | 2.2% | 12 | 12 | $108.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 98 | 95 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 69 | 68 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 67 | 66 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 28 | 25 | $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.