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

    NPI 1578772513 · Albertville, AL · Vascular Surgery Physician

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    Sean English is a vascular surgery physician provider located in Albertville, Alabama. This profile covers 15 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 English
    Address11491 Us Highway 431
    CityAlbertville
    StateAL
    ZIP35950
    TaxonomyVascular Surgery Physician
    NPI EnumeratedMay 22, 2007

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

    Payer SourceTotal Paid
    Medicare$52K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…450$40$15.8K
    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…140$110$14.8K
    36482In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…40$120$5K
    37228N/A10$320$4.1K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…100$20$2.2K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…60$30$2K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…70$30$1.8K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…110$20$1.6K
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…100$10$1.4K
    75625In this procedure, the provider performs imaging supervision and interpretation for abdominal aortography with serialography. Report this code to represent only imaging supervision and interpretation…30$50$1.3K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3648242040$1,150$41.4K
    37252253020$550$15.3K
    3722821020$360$6.4K
    9388014248040$80$4.8K
    992041613,75030$100$4.8K
    9923123464040$40$4.1K
    9392515322020$110$4.1K
    939705541040$50$3.1K
    99212171,24030$30$2.1K
    9392326020$50$1.6K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bon Secours Medical Group Greenville Specialty Care LLCSCCardiovascular Disease Physician$0$2.1M
    Sean HislopSCVascular Surgery Physician$877.1K$0
    Zachary ArthursSCVascular Surgery Physician$641.3K$0
    Adam KeeferSCVascular Surgery Physician$638.8K$0
    Muthamma MachimadaSCRheumatology Physician$530.9K$0
    James JenningsSCAdult Reconstructive Orthopaedic Surgery Physician$441.9K$0
    A. Thomas SiachosSCCardiovascular Disease Physician$429.2K$0
    Edward StewartSCCardiovascular Disease Physician$420.4K$0
    Matthew SellersSCClinical Cardiac Electrophysiology Physician$417K$0
    Jonathan KittredgeSCVascular Surgery Physician$382.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Occupational Therapy Center, LLCALMulti-Specialty Clinic/Center$0$6.2M
    Rapid Care IncALInternal Medicine Physician$0$4.2M
    Oral Surgery Associates, PCALOral and Maxillofacial Surgery (Dentist)$0$1.3M
    Raymond FernandezALCardiovascular Disease Physician$227.4K$0
    Raymond UffordALFamily Medicine Physician$217.6K$0
    Gary CalhounALFamily Medicine Physician$177.8K$0
    Michael PetersALFamily Medicine Physician$148.8K$0
    Elliott SaltzALFamily Medicine Physician$94.9K$0
    Philip TraynorALPodiatrist$53.2K$570
    Gayle LombardALFamily Nurse Practitioner$28.4K$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. Alabama Distribution
    Sean English — 3 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama