Sebastian, Stephen

Sebastian, Stephen was paid $28K by Medicaid between Jan 2018 and Dec 2019, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.

33Billing provider infoSEBASTIAN, STEPHEN
WRENTHAM, MA 02093

33aNPI1366480584assigned 06/02/2006

33bProvider typeEmergency Medicine Physician

28Total paid$28K

24GClaims310

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#196 of 618

Median peer was paid$8K

This provider vs. median3.3×

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
2018	282	$25K
2019	28	$3K

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	45%	140	140	$12K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	44%	129	126	$12K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	6.6%	15	15	$2K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	4.6%	26	26	$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.