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

    NPI 1639525330 · Sugar Land, TX · Family Nurse Practitioner

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    Sean Mcdougall is a family nurse practitioner provider located in Sugar Land, Texas. This profile covers 9 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 Mcdougall
    Address15035 Southwest Fwy
    CitySugar Land
    StateTX
    ZIP77478
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedMay 11, 2016

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

    Payer SourceTotal Paid
    Medicare$57.4K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose280$100$26.9K
    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…280$50$13.4K
    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…130$60$7.2K
    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…50$70$3.1K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.80$30$2.2K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.70$30$1.7K
    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…20$80$1.4K
    J1040Injection, methylprednisolone acetate, 80 mg110$10$970
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.30$20$450

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921423,49332,500110$80$17.6K
    J7323911080$100$12.2K
    992139,64429,79070$60$8.4K
    9920412,69016,38030$110$5.6K
    206102552,48060$50$5.5K
    735643981,08050$30$2.5K
    735626241,93040$20$1.4K
    730301,7832,45040$20$1.1K
    J104017193040$10$610

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ut PhysiciansTXAnesthesiology Physician$0$94.4M
    Ankur KhoslaTXInterventional Pain Medicine Physician$653.3K$0
    Naveed SaqibTXVascular Surgery Physician$611.7K$0
    Shehzad SamiTXInterventional Cardiology Physician$556.6K$0
    Filemon TanTXRheumatology Physician$546.2K$0
    Zagum BhattiTXVascular & Interventional Radiology Physician$538.7K$0
    Stefan KreuzerTXOrthopaedic Surgery Physician$462.8K$0
    Faramarz SamieNYMOHS-Micrographic Surgery Physician$432.4K$0
    Scott WuTXGastroenterology Physician$402.4K$7.6K
    Ramesh HariharanTXClinical Cardiac Electrophysiology Physician$368.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Miracle Hands Healthcare ServicesTXHome Health Agency$0$65.9M
    Night-light After Hours Pediatrics PLLCTXUrgent Care Clinic/Center$0$35.1M
    Incarnation Home Health Services,inc,TXHome Health Agency$0$32.3M
    Med-source Healthcare Services, IncTXHome Health Agency$0$28.4M
    D & D Care Homes, Inc.TXIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$14.6M
    Quintessence Healthcare, IncTXHome Health Agency$0$11.9M
    Ncj Health System IncTXHome Health Agency$0$11.8M
    K2 Holistic Healthcare Services, Inc.TXHome Health Agency$0$11.1M
    Immunogenomics LLCTXClinical Medical Laboratory$227.7K$5.6M
    Topblood LLCTXClinical Medical Laboratory$4.7M$630

    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. Texas Distribution
    Sean Mcdougall — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas