Sunseri, Francis

Sunseri, Francis was paid $101K by Medicaid between Jan 2018 and Feb 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.

33Billing provider infoSUNSERI, FRANCIS
STEUBENVILLE, OH 43952

33aNPI1932106028assigned 07/05/2005

33bProvider typeFamily Medicine Physician

28Total paid$101K

24GClaims2,598

24DCodes billed6

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Family Medicine Physician providers in Ohio

Rank by total paid#238 of 739

Median peer was paid$30K

This provider vs. median3.4×

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	733	$30K
2019	555	$20K
2020	528	$21K
2021	337	$14K
2022	292	$11K
2023	141	$5K
2024incomplete	12	$429.72

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	73%	1,976	1,608	$74K
99222	Initial hospital care, per day, moderate complexity	19%	388	355	$19K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.7%	132	76	$4K
99223	Prolong inpt eval add15 m	3.3%	62	59	$3K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.2%	27	12	$1K
99238	Hospital discharge day management, 30 minutes or less	<1%	13	12	$587.55

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.