Boone, Sean

Boone, Sean was paid $26K by Medicaid between Jan 2018 and Jun 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoBOONE, SEAN
HUGO, OK 74743

33aNPI1629019237assigned 06/08/2006

33bProvider typeFamily Medicine Physician

28Total paid$26K

24GClaims2,411

24DCodes billed10

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Family Medicine Physician providers in Oklahoma

Rank by total paid#241 of 351

Median peer was paid$153K

This provider vs. median0.2×

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	885	$8K
2019	778	$7K
2020	435	$5K
2021	137	$2K
2022	60	$1K
2023	50	$2K
2024incomplete	66	$509.40

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	56%	721	650	$14K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	16%	586	586	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10%	146	129	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	6.8%	454	367	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	5.5%	327	169	$1K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	3.0%	12	12	$767.04
99490	Ccm add 20min	1.0%	83	83	$268.16
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans	<1%	12	12	$216.55
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	22	12	$208.31
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%	48	40	$97.41

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.