Avolese, Sebastian

Avolese, Sebastian was paid $137K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.

33Billing provider infoAVOLESE, SEBASTIAN
GLENDALE, NY 11385

33aNPI1710921051assigned 06/16/2006

33bProvider typeGeneral Practice Physician

28Total paid$137K

24GClaims10,841

24DCodes billed15

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Physician providers in New York

Rank by total paid#64 of 178

Median peer was paid$27K

This provider vs. median5.1×

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	1,634	$24K
2019	2,452	$27K
2020	1,819	$19K
2021	1,098	$15K
2022	1,165	$15K
2023	1,395	$19K
2024incomplete	1,278	$19K

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	66%	7,057	6,734	$90K
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	28%	2,126	2,121	$39K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.1%	379	378	$3K
99442		1.7%	318	251	$2K
99441		<1%	146	118	$734.46
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	513	156	$466.24
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	12	12	$441.96
99443		<1%	66	58	$429.28
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	87	86	$223.76
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	36	29	$78.03
99239	Hospital discharge day management, more than 30 minutes	0%	14	14	$0.00
82270		0%	14	14	$0.00

3 more codes

1125F		0%	25	$0.00
99238	Hospital discharge day management, 30 minutes or less	0%	35	$0.00
G8476	Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg	0%	13	$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.