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

Sean R Thomas MD, INC

Sean R Thomas MD, INC was paid $636K by Medicaid between Jan 2018 and Oct 2024, across 5 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
YUCCA VALLEY, CA 92284
33aNPI1386869147assigned 04/16/2007
28Total paid$636K
24GClaims15,035
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#224 of 2,511
Median peer was paid$13K
This provider vs. median50×

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$10K$20K$30K2018201920202021202220232024
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
20184,960$230K
20192,728$144K
20203,172$116K
20211,615$64K
2022829$26K
20231,297$41K
2024incomplete434$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 100% 10,003 8,762 $636K
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% 4,627 3,953 $208.74
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% 24 24 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 13 13 $0.00
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 0% 368 338 $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)
Same official

Other billing entities under BAUTISTA, JANUARIE

Full network →
ProviderLocationPaid
Sean R Thomas MD, INCTwentynine Palms, CA$531K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.