Seth D Rayburn MD PC

Seth D Rayburn MD PC was paid $3K by Medicaid between Jan 2018 and Jan 2020, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.

33Billing provider infoSETH D RAYBURN MD PC
ATHENS, AL 35611

33aNPI1811048879assigned 01/16/2007

33bProvider typeSurgery Physician

28Total paid$3K

24GClaims284

24DCodes billed2

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Surgery Physician providers in Alabama

Rank by total paid#30 of 51

Median peer was paid$4K

This provider vs. median0.8×

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	159	$1K
2019	109	$2K
2020	16	$321.76

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	93%	268	175	$3K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	6.6%	16	12	$219.88

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 officialRAYBURN, SETH (PRESIDENT)