Sebastian, Melinda

Sebastian, Melinda was paid $696K by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoSEBASTIAN, MELINDA
ALEXANDRIA, VA 22304

33aNPI1487755815assigned 09/26/2006

33bProvider typePediatrics Physician

28Total paid$696K

24GClaims22,664

24DCodes billed37

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#132 of 817

Median peer was paid$29K

This provider vs. median24×

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	4,812	$138K
2019	4,483	$118K
2020	2,867	$89K
2021	2,933	$93K
2022	3,053	$97K
2023	2,819	$98K
2024incomplete	1,697	$64K

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	50%	4,280	3,874	$351K
92553		9.8%	2,165	2,122	$69K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.2%	1,150	1,082	$64K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.7%	533	524	$40K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	5.4%	453	448	$37K
96110	Developmental screening, with scoring and documentation, per standardized instrument	3.8%	3,239	3,096	$26K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.7%	249	247	$19K
86580		2.3%	2,234	2,179	$16K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.2%	150	138	$16K
90688		1.8%	1,114	1,079	$13K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.7%	736	736	$12K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	1.1%	568	532	$8K

25 more codes

90651		<1%	123	$5K
99173		<1%	2,211	$5K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	26	$2K
99188		<1%	81	$2K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	996	$1K
94760		<1%	862	$1K
90619		<1%	12	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	40	$1K
90734		<1%	34	$1K
90713		<1%	82	$873.82
90685		<1%	76	$773.04
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	123	$755.34
90700		<1%	54	$604.50
90670		<1%	13	$533.72
90461		<1%	180	$341.90
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	26	$310.90
90633		<1%	27	$253.00
A7016	Dome and mouthpiece, used with small volume ultrasonic nebulizer	<1%	51	$251.13
90744		<1%	18	$212.35
90658		<1%	17	$186.85
90715		<1%	12	$154.86
99050		<1%	12	$122.30
A7015	Aerosol mask, used with dme nebulizer	<1%	105	$104.93
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	561	$21.01
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	51	$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.