Ko, Sebastian

Ko, Sebastian was paid $22K by Medicaid between Apr 2021 and Jan 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoKO, SEBASTIAN
MOUNTAIN VIEW, CA 94040

33aNPI1902367642assigned 03/26/2019

33bProvider typeSports Medicine (Orthopaedic Surgery) Physician

28Total paid$22K

24GClaims477

24DCodes billed3

24AFirst – last monthApr 2021 – Jan 2024

Compared with peers

Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in California

Rank by total paid#18 of 33

Median peer was paid$22K

This provider vs. median1.0×

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
2021	59	$3K
2022	157	$8K
2023	244	$11K
2024incomplete	17	$761.92

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	61%	319	284	$13K
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	37%	146	139	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.5%	12	12	$322.99

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.