Physician
Sean R Thomas MD, INC
Sean R Thomas MD, INC was paid $531K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoSEAN R THOMAS MD, INC
TWENTYNINE PALMS, CA 92277
TWENTYNINE PALMS, CA 92277
33aNPI1154336246assigned 07/29/2006
33bProvider typeFamily Medicine Physician
28Total paid$531K
24GClaims11,373
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#249 of 2,511
Median peer was paid$13K
This provider vs. median41×
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 | 3,338 | $190K | |
| 2019 | 2,536 | $147K | |
| 2020 | 1,982 | $82K | |
| 2021 | 1,225 | $53K | |
| 2022 | 286 | $11K | |
| 2023 | 621 | $21K | |
| 2024incomplete | 1,385 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 7,646 | 6,962 | $531K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 2,528 | 2,262 | $395.42 |
| 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 | <1% | 959 | 638 | $195.74 |
| 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 | <1% | 33 | 28 | $74.42 |
| 3078F | 0% | 102 | 55 | $0.00 | |
| 3074F | 0% | 105 | 55 | $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.
From NPPES
Who's on the registration
Authorized officialBAUTISTA, JANUARIE (CONTRACTS DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Sean R Thomas MD, INC | Yucca Valley, CA | $636K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.