Sekula, Jeffrey

Sekula, Jeffrey was paid $8K by Medicaid between Aug 2018 and Oct 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.

33Billing provider infoSEKULA, JEFFREY
NEW HARTFORD, NY 13413

33aNPI1518946060assigned 01/12/2006

33bProvider typeUrology Physician

28Total paid$8K

24GClaims473

24DCodes billed4

24AFirst – last monthAug 2018 – Oct 2024

Compared with peers

Next to other Urology Physician providers in New York

Rank by total paid#207 of 461

Median peer was paid$6K

This provider vs. median1.3×

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	84	$912.21
2019	141	$2K
2020	53	$2K
2021	63	$821.61
2022	51	$540.00
2023	37	$762.65
2024incomplete	44	$607.42

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	86%	404	394	$7K
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	14%	31	31	$1K
81003		<1%	14	12	$9.05
51798		<1%	24	24	$5.90

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.