Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CARLOS A. SESIN, MD, PA

NPI: 1639364144 · MIAMI BEACH, FL 33140 · Rheumatology Physician · NPI assigned 09/07/2007

$5K
Total Medicaid Paid
11,154
Total Claims
7,793
Beneficiaries
17
Codes Billed
2018-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialSESIN, CARLOS (DIRECTOR)
NPI Enumeration Date09/07/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,582 $2K
2019 5,338 $2K
2020 714 $863.48
2021 435 $85.74
2022 85 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,721 1,454 $1K
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,040 650 $938.36
1123F 1,407 952 $453.18
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,804 1,235 $428.49
20610 555 187 $369.92
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 633 507 $361.44
1036F 1,483 1,014 $358.11
G8783 Normal blood pressure reading documented, follow-up not required 943 648 $123.24
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 246 67 $120.07
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 363 281 $95.19
J1030 Injection, methylprednisolone acetate, 40 mg 96 64 $2.50
0518F 107 100 $0.00
96401 350 278 $0.00
1124F 58 55 $0.00
J0897 Injection, denosumab, 1 mg 14 14 $0.00
20611 18 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 316 275 $0.00