Sego, James

Sego, James was paid $58K by Medicaid between Oct 2019 and Nov 2020, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 39% of everything it billed.

33Billing provider infoSEGO, JAMES
DAYTON, TN 37321

33aNPI1942225370assigned 07/13/2006

33bProvider typeInternal Medicine Physician

28Total paid$58K

24GClaims1,042

24DCodes billed3

24AFirst – last monthOct 2019 – Nov 2020

Compared with peers

Next to other Internal Medicine Physician providers in Tennessee

Rank by total paid#183 of 581

Median peer was paid$15K

This provider vs. median3.8×

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
2019	280	$14K
2020	762	$44K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	39%	290	281	$22K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	36%	386	366	$21K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	25%	366	350	$15K

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.