Dr. Sony Sebastian, DO
2201 Lexington Ave, Ashland, KY 41101 • +1-753-555-6638
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Ashland Percentiles
NPI #1396165866 • CBSA Regional • Emergency Medicine
Within the Ashland, KY (CBSA local) Emergency Medicine cohort, Dr. Sony Sebastian, DO with sub-specialty concentration in 13 Active CMS HCPCS Codes ranks at the 80th municipal percentile and 87.02th KY percentile (+0.47σ Z-score) based on 1,432 billed procedures for 620 patients.
Granular CPT/HCPCS billing distribution at 2201 Lexington Ave shows Dr. Sony Sebastian's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 644x/yr, 80th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 372x/yr, $119–$163).
For out-of-network patients contacting +1-753-555-6638, Dr. Sebastian's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.56/5 composite reality score over 11 submissions).
NPI registry verification (#1396165866) confirms Dr. Sony Sebastian's DO standing serving CBSA 41101 with a 4.56/5 patient scorecard.
Compared against Ashland, KY Emergency Medicine peers
1,432 annual services across 620 beneficiaries
Standard deviations from KY Emergency Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 644 | 80th | $155 – $213 |
| 99213 | Established Preventive & Chronic Care Visit | 372 | 77th | $119 – $163 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 186 | 76th | $57 – $78 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 143 | 79th | $182 – $250 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 86 | 85th | $216 – $296 |
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Dr. Sony Sebastian, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sebastian National Provider Identifier | NPI #1396165866 (DO) | CMS NPPES Registry (41101) |
| Dr. Sebastian Ashland CMS Volume Rank | 80.00th Pct (1,432 CMS svcs; Z +0.473σ) | CMS Medicare Part B (KY Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Ashland, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.90/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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