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

    NPI 1386771715 · West Hollywood, CA · Diagnostic Radiology Physician

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    Sean Hayes is a diagnostic radiology physician provider located in West Hollywood, California. This profile covers 12 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSean Hayes
    Address8700 Beverly Blvd
    CityWest Hollywood
    StateCA
    ZIP90048
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedFebruary 27, 2007

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

    Payer SourceTotal Paid
    Medicare$174.7K
    Medicaid$2.3K

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78492In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes…780$70$51.9K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…660$60$40.3K
    75574The provider uses computed tomography (CT) with instillation of contrast to examine any defect or abnormality in the heart or coronary artery or any abnormality due to an already present bypass…280$90$23.6K
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…1,120$20$19K
    93018The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…1,200$10$13.2K
    78451In this procedure, the provider performs a single SPECT study of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…260$50$13.1K
    78469In this procedure, the provider uses SPECT, single photon emission computed tomography, a type of nuclear imaging test, to evaluate damage that might have been caused by a recent myocardial…110$40$4K
    75571The provider uses computed tomography (CT) for quantitative measurement of calcium deposit in the coronary vessels of heart. She does not administer contrast during the procedure.170$20$3.8K
    78433The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, and concurrent CT transmission scan using two radionuclide tracers. The study reveals blood flow to and from the…20$90$1.9K
    0504TN/A40$30$1.1K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78492514090$1,180$220.2K
    7845291,19050$250$22.8K
    7845921020$680$21.7K
    755741226040$150$10.5K
    7845125020$140$8.2K
    712751,4591,58050$80$5.3K
    755711829030$60$3.3K
    7846911060$40$2.2K
    7843311020$90$1.9K
    93016166030$20$1K

    Showing 1–10 of 12

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…40$40$1.6K
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…50$10$420
    93018The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…50$10$270

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…345460170$190$126.4K
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…10318070$10$4.5K
    93018The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…11019070$10$3.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cedars-sinai Medical CenterCAGeneral Acute Care Hospital$0$70M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Joshua MintzTXAnesthesiology Physician$2.2M$0
    Robert VescioCAHematology & Oncology Physician$2.1M$0
    Rameen MoridzadehCAVascular Surgery Physician$1.8M$0
    Ryan Abdul-haqqCAVascular Surgery Physician$1.7M$0
    Nathan PunwaniAZHematology & Oncology Physician$1.6M$0
    Daniel WallaceCARheumatology Physician$1.2M$0
    Martin HoppCAOtolaryngology Physician$1.1M$0
    Pedram EnayatiCAInternal Medicine Physician$934.2K$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. California Distribution
    Sean Hayes — 7 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Sean Hayes — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California