Clinic
Michael Sesay MD, LLC
Michael Sesay MD, LLC was paid $1.40M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoMICHAEL SESAY MD, LLC
ANNISTON, AL 36207
ANNISTON, AL 36207
33aNPI1750530341assigned 09/18/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$1.40M
24GClaims27,738
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Alabama
Rank by total paid#8 of 75
Median peer was paid$56K
This provider vs. median25×
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 | 4,473 | $228K | |
| 2019 | 4,414 | $223K | |
| 2020 | 4,368 | $223K | |
| 2021 | 4,679 | $214K | |
| 2022 | 4,011 | $202K | |
| 2023 | 3,105 | $152K | |
| 2024incomplete | 2,688 | $155K |
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 | 44% | 13,347 | 10,034 | $611K |
| 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 | 38% | 7,863 | 6,704 | $527K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.3% | 1,412 | 367 | $74K |
| 99223 | Prolong inpt eval add15 m | 5.3% | 700 | 616 | $74K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.0% | 2,284 | 628 | $70K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.5% | 542 | 494 | $21K |
| 99442 | <1% | 684 | 547 | $10K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 43 | 24 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 33 | 25 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 92 | 82 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 64 | 57 | $620.62 |
| 0011A | <1% | 17 | 17 | $600.00 |
7 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 106 | $570.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 340 | $522.00 |
| 0012A | <1% | 16 | $480.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21 | $314.20 |
| 90674 | <1% | 13 | $207.00 | |
| 3008F | 0% | 110 | $0.00 | |
| 91301 | 0% | 51 | $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.
From NPPES
Who's on the registration
Authorized officialSESAY, MICHAEL (PRESIDENT)