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

    NPI 1043429152 · New York, NY · Nuclear Medicine Physician

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    Sean Whalen is a nuclear medicine physician provider located in New York, New York. This profile covers 17 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 Whalen
    Address622 W 168th St
    CityNew York
    StateNY
    ZIP10032
    TaxonomyNuclear Medicine Physician
    NPI EnumeratedMay 22, 2007

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

    Payer SourceTotal Paid
    Medicare$555.5K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…1,790$80$147K
    20610In 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…2,070$40$88.9K
    J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose1,500$60$87K
    J7332Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg9,380$10$75K
    99490The 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…830$50$38.4K
    J7322Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg2,780$10$36.2K
    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…310$90$26.1K
    76882The provider uses ultrasound for a limited study of one or more nonvascular structures in an extremity. The image appears in real time on a monitor, and a permanent copy is made and documented in the…520$30$16K
    99439The 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…430$40$15.1K
    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$120$8.2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J73321203,560$10$35.3K
    J732212401,440$10$30.5K
    99490341,210150$50$21K
    992143,54830,45090$100$19K
    J732434150100$100$16.6K
    2061110374080$90$15.9K
    994395146090$40$13.8K
    J73211140130$60$13.4K
    99457143480150$40$12.5K
    9921312,17531,44080$70$12.1K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State Of ConnecticutCTGeneral Acute Care Hospital$0$205.8M
    Trustees Of Columbia University In The City Of New YorkNYSurgery Physician$0$96.9M
    University Of North Carolina At Chapel HillNCAnesthesiology Physician$0$87.6M
    Trustees Of Columbia University In The City Of New YorkNYInternal Medicine Physician$0$54.9M
    University Of North Carolina Hospitals At Chapel HillNCGeneral Acute Care Hospital$0$50.7M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Unc Physicians Network LLCNCGeneral Practice Physician$0$47M
    City Of Hope Medical FoundationCAHematology & Oncology Physician$0$40.6M
    Sacred Heart Health System, Inc.FLGeneral Acute Care Hospital$0$38.5M
    Jefferson County Public Hospital District No 2WACritical Access Hospital$0$37.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The New York And Presbyterian HospitalNYGeneral Acute Care Hospital$0$455.2M
    Columbia University Health Care, Inc.NYDental Clinic/Center$0$29M
    Trustees Of Columbia University In The City Of New YorkNYInternal Medicine Physician$0$21.4M
    Trustees Of Columbia University In The City Of New YorkNYAnatomic Pathology & Clinical Pathology Physician$254.6K$7.4M
    William SchiffNYOphthalmology Physician$1.9M$430
    Dean PreddieNYNephrology Physician$795.6K$649.2K
    David SilversNYDermatopathology Physician$1.3M$0
    Gaetano BarileNYOphthalmology Physician$1.2M$0
    Mikhail DoubrovinNYNuclear Medicine Physician$1M$117.9K
    Thomas FlynnNYOphthalmology Physician$1M$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. New York Distribution
    Sean Whalen — 5 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York