SONY SEBASTIAN, D.O.
Hospitalist Physician · ASHLAND, KY
Individual Active NPI 1396165866
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 620 | 1,432 | $370,500 | $143,323 | $112,514 |
| 2023 | 644 | 1,439 | $338,551 | $147,153 | $114,373 |
| 2022 | 766 | 1,565 | $330,611 | $160,811 | $124,577 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 693 | $73 | $58 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 210 | $121 | $94 |
| 99239 | Hospital discharge day management, more than 30 minutes | 195 | $106 | $84 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 151 | $162 | $124 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 149 | $111 | $87 |
| 99291 | Critical care, first 30-74 minutes | 19 | $200 | $159 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | ✓ | 04143 | KY |
| Emergency Medicine Physician | 207P00000X | 04143 | KY | |
| Family Medicine Physician | 207Q00000X | 04143 | KY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.