Kairouz, Sebastien

Kairouz, Sebastien was paid $426K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 27% of everything it billed.

33Billing provider infoKAIROUZ, SEBASTIEN
DECATUR, IL 62526

33aNPI1396701009assigned 04/21/2006

33bProvider typeHematology & Oncology Physician

28Total paid$426K

24GClaims20,224

24DCodes billed17

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Hematology & Oncology Physician providers in Illinois

Rank by total paid#3 of 285

Median peer was paid$31K

This provider vs. median14×

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	1,809	$29K
2019	4,341	$65K
2020	2,695	$59K
2021	3,520	$97K
2022	3,756	$85K
2023	2,574	$55K
2024incomplete	1,529	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	27%	2,633	1,887	$116K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	25%	2,397	893	$105K
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	19%	2,611	2,337	$81K
96367		13%	1,970	581	$56K
96375	Therapeutic injection; each additional sequential IV push	4.3%	1,055	435	$19K
80053	Comprehensive metabolic panel	3.0%	1,249	951	$13K
85027		2.5%	1,852	1,301	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.5%	241	227	$6K
85007		1.4%	1,806	1,294	$6K
83735		1.2%	790	595	$5K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	1.0%	130	62	$4K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	267	241	$2K

5 more codes

J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	2,042	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	117	$655.85
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	687	$628.11
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	299	$280.65
J3490	Unclassified drugs	<1%	78	$26.04

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.