Medicare Enrolled
Dr. Mohamed Sebai, M.D.
Optician · Upland, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Sebai from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Sebai
Dr. Mohamed Sebai is an optician specialist in Upland, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Sebai performed 26,090 Medicare services across 2,222 unique beneficiaries.
Between the years covered by Open Payments, Dr. Sebai received a total of $8,865 from 28 pharmaceutical and/or device companies across 529 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Sebai is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 4% volume in CA
$8,865 industry payments
Medicare Practice Summary
Medicare Utilization ↗26,090
Medicare services
Top 4% in CA for optician
2,222
Unique beneficiaries
$26
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,304 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Abatacept infusion (Orencia) An injection of abatacept administered under the direct supervision of a physician. This code is used for Medicare when the drug is not self-administered. |
8,725 | $31 | $56 |
| Infliximab infusion (Remicade) An injection of infliximab, excluding biosimilar versions, administered in a 10 mg dose. |
6,325 | $26 | $99 |
| Denosumab injection (Prolia/Xgeva) | 3,000 | $18 | $25 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
890 | $1 | $78 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
685 | $97 | $150 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
573 | $11 | $35 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
556 | $8 | $15 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
555 | $4 | $20 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
551 | $8 | $28 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
550 | $10 | $70 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
426 | $5 | $26 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
402 | $4 | $25 |
| Autoimmune disorder antibody test A laboratory test that measures antibodies in the blood to help assess for autoimmune disorders. |
360 | $17 | $35 |
| Normal saline infusion, 250 cc Administration of 250 cubic centimeters of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater fluid. |
342 | $0 | $15 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
300 | $1 | $10 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
189 | $51 | $125 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
186 | $22 | $95 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
178 | $29 | $60 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
154 | $100 | $215 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
118 | $15 | $25 |
| Orthovisc intra-articular injection An injection of hyaluronan or its derivative into a joint space to provide lubrication and cushioning. |
116 | $97 | $200 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
108 | $64 | $145 |
| Complement and antigen measurement A laboratory test to measure levels of complement proteins and antigens in the blood. |
104 | $12 | $35 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
88 | $22 | $50 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
78 | $23 | $60 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
76 | $27 | $60 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
48 | $73 | $105 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
44 | $24 | $60 |
| Immunoassay substance measurement A laboratory test that uses immunoassay techniques to measure the level of a specific substance in a sample. |
44 | $17 | $25 |
| DNA antibody test (native or double-stranded) A blood test that measures the level of antibodies targeting native or double-stranded DNA. This test is used to detect the presence of these specific antibodies in the body. |
44 | $13 | $45 |
| Measurement of dna antibody, single stranded | 44 | $12 | $46 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
37 | $31 | $70 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
37 | $40 | $125 |
| Autoimmune disorder screening test A laboratory test used to screen for the presence of autoimmune disorders. |
30 | $12 | $35 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
29 | $122 | $185 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
28 | $100 | $150 |
| Immune complex measurement A laboratory test that measures the level of immune complexes in the blood. Immune complexes are formed when antibodies bind to antigens. |
22 | $24 | $50 |
| Rheumatoid arthritis antibody test A blood test to measure antibodies used in assessing rheumatoid arthritis. |
19 | $13 | $25 |
| Microsomal antibody test A blood test that measures the level of microsomal antibodies, which are autoantibodies produced by the immune system. |
17 | $14 | $25 |
| X-ray of both hips, 2 views An X-ray imaging test that captures two views of both hip joints to evaluate bone structure and alignment. |
12 | $24 | $120 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
60.3% high complexity
19.8% medium
19.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$8,865
Total received (2018-2024)
Avg $1,266/year across 7 years
Top 15% in CA for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
529
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,865 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,351
2023
$1,091
2022
$777
2021
$1,255
2020
$886
2019
$1,834
2018
$1,671
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$480
GlaxoSmithKline, LLC.
$176
US Oncology Corporate, Inc.
$174
Novartis Pharmaceuticals Corporation
$141
PFIZER INC.
$92
ABBVIE INC.
$83
UCB, Inc.
$79
Organon Llc
$35
Sandoz Inc.
$30
ANI Pharmaceuticals, Inc.
$26
Boehringer Ingelheim Pharmaceuticals, Inc.
$19
E.R. Squibb & Sons, L.L.C.
$16
Top 3 companies account for 61.4% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$1,889
Janssen Biotech, Inc.
$1,227
E.R. Squibb & Sons, L.L.C.
$733
GlaxoSmithKline, LLC.
$728
PFIZER INC.
$588
Genentech USA, Inc.
$573
AbbVie, Inc.
$572
Novartis Pharmaceuticals Corporation
$488
AbbVie Inc.
$335
UCB, Inc.
$226
Horizon Therapeutics plc
$213
Lilly USA, LLC
$204
Aurinia Pharma U.S., Inc.
$178
US Oncology Corporate, Inc.
$174
GENZYME CORPORATION
$120
ABBVIE INC.
$97
Boehringer Ingelheim Pharmaceuticals, Inc.
$73
Mallinckrodt LLC
$69
Radius Health, Inc.
$65
Fresenius Kabi USA, LLC
$61
MEDEXUS PHARMA, INC.
$58
AstraZeneca Pharmaceuticals LP
$39
Organon Llc
$35
Sandoz Inc.
$30
ANI Pharmaceuticals, Inc.
$26
MEDAC PHARMA, INC.
$24
SANOFI-AVENTIS U.S. LLC
$20
Organon LLC
$18
Top 3 companies account for 43.4% of all-time payments
Associated products mentioned in payments ›
ACTHAR · AVSOLA · Actemra · BENLYSTA · Bimzelx · COSENTYX · Cimzia · EVENITY · Enbrel · HADLIMA · HUMIRA · HYRIMOZ · Humira · IDACIO · KEVZARA · KRYSTEXXA · LUPKYNIS · LYRICA · OFEV · ORENCIA · Otezla · PURIFIED CORTROPHIN GEL · Prolia · REMICADE · RENFLEXIS · RINVOQ · Rasuvo · Rinvoq · Rituxan · SAPHNELO · SIMPONI · SIMPONI ARIA · SKYRIZI · STELARA · TALTZ · TREMFYA · Tymlos · XELJANZ
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Opticians within 10 mi
476
Per 100K population
21.8
County median income
$82,184
Nearest hospital
SAN ANTONIO REGIONAL HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Sebai is a mixed practice specialist, with above-average Medicare volume (top 4% in CA), with low-engagement industry engagement in the top 15% of CA peers, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Sebai experienced with abatacept infusion (orencia)?
Based on Medicare claims data, Dr. Sebai performed 8,725 abatacept infusion (orencia) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Sebai receive payments from pharmaceutical companies?
Yes. Dr. Sebai received a total of $8,865 from 28 companies across 529 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Sebai's costs compare to other opticians in Upland?
Dr. Sebai's average Medicare payment per service is $26. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Sebai) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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