Le, Sean

Le, Sean was paid $240K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider infoLE, SEAN
CHICAGO, IL 60640

33aNPI1578552915assigned 10/18/2005

33bProvider typeInternal Medicine Physician

28Total paid$240K

24GClaims7,747

24DCodes billed20

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#311 of 3,722

Median peer was paid$26K

This provider vs. median9.3×

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	971	$19K
2019	913	$22K
2020	770	$22K
2021	707	$17K
2022	1,454	$45K
2023	1,428	$50K
2024incomplete	1,504	$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	42%	2,052	1,877	$102K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	39%	3,343	2,939	$93K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	5.0%	156	126	$12K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	4.9%	140	118	$12K
90673		1.6%	55	31	$4K
90662		1.5%	91	83	$4K
90686		1.5%	168	140	$4K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	1.2%	205	178	$3K
90682		<1%	34	14	$2K
0124A		<1%	38	29	$1K
0003A		<1%	36	31	$1K
36415	Collection of venous blood by venipuncture	<1%	1,127	1,030	$952.55

8 more codes

96127		<1%	60	$880.38
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	37	$461.65
90656		<1%	18	$355.80
99443		<1%	49	$228.40
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	30	$116.18
G0008	Administration of influenza virus vaccine	<1%	26	$114.60
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	64	$34.26
99442		0%	18	$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.