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    OpenPayerNPI Medicare & MedicaidSean Mcwilliams
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    Sean Mcwilliams — Billing Profile & Reimbursement Data

    NPI 1003854803 · Destin, FL · Otolaryngology Physician

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    Sean Mcwilliams is a otolaryngology physician provider located in Destin, Florida. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSean Mcwilliams
    Address7720 Us Highway 98 W
    CityDestin
    StateFL
    ZIP32550
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJune 3, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$123.9K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…680$70$48.6K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.550$40$20.4K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.270$40$11.7K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.610$20$10.4K
    31237In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.40$190$7.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…70$110$7.5K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…70$100$6.5K
    69222The provider cleans out the cavity left by a mastoidectomy; the procedure requires anesthesia or more extensive debridement than normal. Patients sometimes require one or more debridement procedures…30$110$3.6K
    31255The provider performs anterior and posterior ethmoidectomy (removal or excision of cells in the ethmoid bone or ethmoid sinus), generally performed if the anterior part and the posterior compartment…10$290$3.5K
    31238In this procedure, the provider inserts an endoscope into the nasal cavity. The provider then uses bipolar cautery or other means to control bleeding.20$120$2.2K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,72232,760140$90$25K
    312312652090$140$24.5K
    312374812030$270$13.1K
    992152,7798,55040$130$10.7K
    3125541010$660$9.9K
    6922271030$170$8.6K
    315753057060$90$8.6K
    992045,56319,04040$110$7K
    992053,7334,82030$160$6.6K
    31238326020$210$4.9K

    Showing 1–10 of 11

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Sean Mcwilliams, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sacred Heart Health System, Inc.FLGeneral Acute Care Hospital$0$38.5M
    Union Associated Physicians Clinic, LLCINFamily Medicine Physician$0$31.1M
    Sacred Heart Health System, Inc.FLFamily Medicine Physician$0$12.3M
    Andrew WeberFLHematology (Internal Medicine) Physician$4.5M$0
    Cedar Valley Pathologists PCIAClinical Pathology/Laboratory Medicine Physician$0$1.8M
    Joshua WeissFLOtolaryngology Physician$619.3K$0
    Christopher AdamsFLRheumatology Physician$555.3K$0
    Salvatore GrimaldiFLFacial Plastic Surgery Physician$543.3K$0
    Michael AronsohnFLSpecialist$492.9K$0
    Jack KotlarzILPlastic Surgery within the Head & Neck (Otolaryngology) Physician$455.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Sean Mcwilliams, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ascension Sacred Heart Emerald CoastFLGeneral Acute Care Hospital$0$11.9M
    Anthony LeoncavalloFLOphthalmology Physician$487.2K$0
    Aaron CreekFLOrthopaedic Surgery of the Spine Physician$401.2K$0
    James JimenezFLDiagnostic Radiology Physician$308.7K$0
    Chun ChenFLDiagnostic Radiology Physician$253.9K$0
    Asim AhmedFLClinical Cardiac Electrophysiology Physician$186.2K$0
    James BowerFLCardiovascular Disease Physician$159.4K$0
    Gregory AltemoseFLClinical Cardiac Electrophysiology Physician$135.2K$0
    Neal HolmFLSurgery Physician$36.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Sean Mcwilliams — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida