Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Carlson, Sean

Carlson, Sean was paid $274K by Medicaid between Oct 2020 and Dec 2024, across 20 billing codes. Its largest line is 71045, Radiologic examination, chest; single view — 20% of everything it billed.

33Billing provider infoCARLSON, SEAN
PITTSBURGH, PA 15224
33aNPI1326275025assigned 06/19/2009
28Total paid$274K
24GClaims11,154
24DCodes billed20
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Diagnostic Radiology Physician providers in Pennsylvania

Rank by total paid#18 of 707
Median peer was paid$5K
This provider vs. median57×

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$5.0K$10K$15K2018201920202021202220232024
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
2020321$5K
20212,383$61K
20222,412$74K
20232,554$58K
2024incomplete3,484$76K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
71045 Radiologic examination, chest; single view 20% 3,629 2,367 $54K
76705 Ultrasound, abdominal, real time with image documentation; limited 17% 1,094 1,077 $48K
71046 Radiologic examination, chest; 2 views 13% 2,157 2,124 $36K
93975 12% 262 252 $32K
76770 12% 598 591 $32K
74018 8.4% 1,555 1,372 $23K
76506 7.8% 344 295 $21K
74019 2.9% 448 437 $8K
73090 1.3% 221 215 $3K
73610 1.1% 180 174 $3K
76140 1.0% 275 245 $3K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 16 16 $2K
8 more codes
73630 <1% 118 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 31 $1K
72040 <1% 54 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 12 $885.76
73590 <1% 53 $795.62
73080 <1% 50 $734.45
77072 <1% 45 $554.45
73130 <1% 12 $160.85

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.