Physician
Sestak Rheumatology
Sestak Rheumatology was paid $33K by Medicaid between Sep 2023 and Oct 2024, across 2 billing codes. Its largest line is 99205, Prolong outpt/office vis — 52% of everything it billed.
33Billing provider infoSESTAK RHEUMATOLOGY
OKLAHOMA CITY, OK 73112
OKLAHOMA CITY, OK 73112
33aNPI1164140679assigned 08/19/2022
33bProvider typePediatrics Physician
28Total paid$33K
24GClaims241
24DCodes billed2
24AFirst – last monthSep 2023 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Oklahoma
Rank by total paid#69 of 94
Median peer was paid$204K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 66 | $12K | |
| 2024incomplete | 175 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99205 | Prolong outpt/office vis | 52% | 96 | 96 | $17K |
| 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 | 48% | 145 | 143 | $16K |
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 officialSESTAK, ANDREA (MANAGER)