Physician
Joseph, Sebastian
Joseph, Sebastian was paid $1.38M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoJOSEPH, SEBASTIAN
CHICAGO, IL 60628
CHICAGO, IL 60628
33aNPI1790004380assigned 05/22/2010
33bProvider typeFamily Medicine Physician
28Total paid$1.38M
24GClaims61,542
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#68 of 2,947
Median peer was paid$43K
This provider vs. median32×
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 | 3,959 | $124K | |
| 2019 | 10,189 | $180K | |
| 2020 | 10,202 | $143K | |
| 2021 | 8,036 | $83K | |
| 2022 | 12,811 | $270K | |
| 2023 | 11,680 | $266K | |
| 2024incomplete | 4,665 | $315K |
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 | 45% | 13,679 | 10,578 | $622K |
| 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 | 10% | 1,856 | 1,517 | $141K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 8.9% | 1,478 | 1,333 | $123K |
| 99385 | 8.0% | 1,061 | 977 | $110K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 6.9% | 1,151 | 1,029 | $95K |
| 99386 | 3.1% | 413 | 366 | $43K | |
| 91320 | 2.7% | 304 | 190 | $37K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.6% | 1,782 | 572 | $37K |
| 90671 | 1.4% | 80 | 54 | $19K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 241 | 224 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 216 | 191 | $18K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 425 | 387 | $18K |
62 more codes
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.1% | 114 | $16K |
| 90686 | <1% | 556 | $10K | |
| 99383 | <1% | 83 | $8K | |
| 90756 | <1% | 317 | $8K | |
| 99384 | <1% | 70 | $7K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 77 | $6K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 212 | $6K |
| 99406 | <1% | 1,215 | $5K | |
| 90656 | <1% | 212 | $4K | |
| 90688 | <1% | 218 | $4K | |
| 0124A | <1% | 82 | $3K | |
| 99408 | <1% | 1,111 | $3K | |
| 90651 | <1% | 161 | $3K | |
| 90734 | <1% | 137 | $3K | |
| 90480 | <1% | 84 | $3K | |
| 97803 | <1% | 1,991 | $2K | |
| 99382 | <1% | 18 | $2K | |
| 90633 | <1% | 126 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 31 | $1K |
| 90715 | <1% | 85 | $1K | |
| 81025 | <1% | 265 | $1K | |
| 90661 | <1% | 29 | $899.25 | |
| 90710 | <1% | 62 | $876.85 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,365 | $870.39 |
| 0001A | <1% | 16 | $674.24 | |
| 0004A | <1% | 17 | $623.39 | |
| 0064A | <1% | 13 | $547.82 | |
| 0012A | <1% | 12 | $505.68 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 554 | $327.40 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 34 | $294.30 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 168 | $79.55 |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | <1% | 88 | $75.25 |
| 90655 | <1% | 18 | $25.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | <1% | 2,984 | $5.00 |
| 3079F | <1% | 1,624 | $2.50 | |
| 3078F | 0% | 2,577 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 3,666 | $0.00 |
| 1160F | 0% | 285 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 289 | $0.00 |
| 4004F | 0% | 1,939 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,144 | $0.00 |
| 91312 | 0% | 15 | $0.00 | |
| 4013F | 0% | 137 | $0.00 | |
| 91300 | 0% | 22 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 123 | $0.00 |
| 4274F | 0% | 96 | $0.00 | |
| 1003F | 0% | 22 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 41 | $0.00 |
| 3077F | 0% | 31 | $0.00 | |
| 90461 | 0% | 14 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 4,078 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,849 | $0.00 |
| 3075F | 0% | 1,103 | $0.00 | |
| 3074F | 0% | 2,617 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,534 | $0.00 |
| 1101F | 0% | 106 | $0.00 | |
| 91301 | 0% | 53 | $0.00 | |
| G9793 | Patient is currently on a daily aspirin or other antiplatelet | 0% | 96 | $0.00 |
| 1036F | 0% | 1,576 | $0.00 | |
| 3044F | 0% | 40 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 221 | $0.00 |
| 3080F | 0% | 33 | $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.