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NPI 1891936464 · Huntley, IL · Physical Medicine & Rehabilitation Physician
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Sebastian Tobon is a physical medicine & rehabilitation physician provider located in Huntley, Illinois. This profile covers 10 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Sebastian Tobon |
| Address | 12140b Regency Pkwy |
| City | Huntley |
| State | IL |
| ZIP | 60142 |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| NPI Enumerated | March 11, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $464.4K |
| Medicaid | $22K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 4,200 | $60 | $256.3K |
| 99306 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least… | 680 | $150 | $100.6K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 800 | $90 | $68.4K |
| 99310 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends… | 180 | $120 | $22.2K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 150 | $40 | $6K |
| 99439 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 170 | $30 | $4.9K |
| 99489 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 50 | $40 | $2.1K |
| 99487 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 30 | $70 | $1.9K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 40 | $40 | $1.7K |
| 99315 | The provider sees a patient for nursing facility discharge management requiring 30 minutes or less. | 30 | $70 | $1.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 2,840 | $10 | $14.2K |
| 99306 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least… | 380 | $20 | $6K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 190 | $10 | $1.3K |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 979 | 1,540 | 410 | $20 | $30.2K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 218 | 1,590 | 360 | $10 | $23K |
| 99306 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least… | 60 | 400 | 60 | $40 | $9.4K |
Other providers in the same ZIP code as Sebastian Tobon, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Huntley Fire Protection District | IL | Land Ambulance | $709.7K | $3.2M |
| Piushkumar Patel | IL | Internal Medicine Physician | $350.4K | $5.6K |
| Debbie Yu-tungol | IL | Internal Medicine Physician | $281.7K | $0 |
| Jyothi Gogineni | IL | Endocrinology, Diabetes & Metabolism Physician | $202.2K | $67.4K |
| Shazia Daudi | IL | Internal Medicine Physician | $257.4K | $1.8K |
| Ankit Patel | IL | Urology Physician | $176.3K | $3.8K |
| Margeret Kiggundu | IL | Family Nurse Practitioner | $123.4K | $46.1K |
| Amanda Kranz | IL | Physical Therapist | $138.1K | $0 |
| Emilie Ulmer | IL | Physical Therapist | $125.9K | $0 |
| Patrick Camodeca | IL | Family Medicine Physician | $113.7K | $3.3K |
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