Sein Ohn, Karen

Sein Ohn, Karen was paid $28K by Medicaid between Oct 2022 and May 2024, across 6 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 80% of everything it billed.

33Billing provider infoSEIN OHN, KAREN
GRANITE CITY, IL 62040

33aNPI1518119536assigned 10/22/2008

33bProvider typeGastroenterology Physician

28Total paid$28K

24GClaims271

24DCodes billed6

24AFirst – last monthOct 2022 – May 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#145 of 370

Median peer was paid$16K

This provider vs. median1.7×

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
2022	12	$0.00
2023	142	$10K
2024incomplete	117	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	80%	136	109	$23K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	13%	52	52	$4K
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	3.1%	27	26	$857.16
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.2%	31	28	$609.94
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.4%	13	13	$395.34
1160F		0%	12	12	$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.