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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSean Mclaughlin
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    Sean Mclaughlin — Billing Profile & Reimbursement Data

    NPI 1023099785 · Bridgeton, MO · Internal Medicine Physician

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    Sean Mclaughlin is a internal medicine physician provider located in Bridgeton, Missouri. This profile covers 27 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 Mclaughlin
    Address12277 De Paul Dr
    CityBridgeton
    StateMO
    ZIP63044
    TaxonomyInternal Medicine Physician
    NPI EnumeratedNovember 9, 2005

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

    Payer SourceTotal Paid
    Medicare$59.2K
    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.

    27 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…300$80$24.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit60$130$7.1K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…80$70$5.1K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.290$10$2.9K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.340$10$2.7K
    G0008Administration of influenza virus vaccine80$30$2.3K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…200$10$2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…40$60$2K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…90$20$1.5K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.110$10$1.4K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,6498,960100$80$13.9K
    G04399491,77060$110$10.2K
    992136,1098,73070$50$7K
    906624361,51040$70$4.6K
    80053114570100$10$3.9K
    8006120450080$10$3K
    83970447030$40$2.9K
    85025262570100$10$2.9K
    8444318242080$20$2.9K
    8230613228040$30$2.7K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Zahid KaleemMOAnatomic Pathology & Clinical Pathology Physician$345.4K$0
    Kent AdkinsMOUrology Physician$183.1K$0
    Alan Valente PaduaMOFamily Medicine Physician$138.7K$0
    Christopher EspanaMOFamily Medicine Physician$122.6K$0
    James DimitroffMOGastroenterology Physician$75.5K$0
    John EnglishILInternal Medicine Physician$73.4K$0
    Victoria JansenILInternal Medicine Physician$72.7K$0
    Matthew RuyleMODiagnostic Radiology Physician$56.8K$0
    James SchoenMODiagnostic Radiology Physician$56.3K$0
    Stanley VriezelaarMOInternal Medicine Physician$46.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ssm Health Care St. LouisMOGeneral Acute Care Hospital$0$27.7M
    At Home Care St. Louis CdsMOIn Home Supportive Care Agency$0$14.7M
    Sluhh LLCMOIn Home Supportive Care Agency$0$14.5M
    Midwest Housing Services LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$7.9M
    Sunshine In Home Services, IncMOChore Provider$0$6.8M
    Aim Laboratories LLCMOClinical Medical Laboratory$978.9K$5.1M
    Mbch Children And Family MinistriesMOEmotionally Disturbed Childrens' Residential Treatment Facility$0$5.6M
    Sound Physicians Of Illinois, LLCMOHospitalist Physician$0$5M
    At Home Care St. LouisMOIn Home Supportive Care Agency$0$4.3M
    Cep America LLCMOEmergency Medicine Physician$0$3.9M

    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. Missouri Distribution
    Sean Mclaughlin — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri