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

    NPI 1689991200 · De Pere, WI · Urology Physician

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    Sean Mcadams is a urology physician provider located in De Pere, Wisconsin. 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 Mcadams
    Address1385 W Main Ave
    CityDe Pere
    StateWI
    ZIP54115
    TaxonomyUrology Physician
    NPI EnumeratedApril 21, 2010

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

    Payer SourceTotal Paid
    Medicare$137.7K
    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
    52442In this add–on procedure, the provider uses a cystourethroscope to place an additional permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.50$660$31K
    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…190$90$17K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…90$160$14.8K
    J0585Injection, onabotulinumtoxina, 1 unit2,500$10$12.5K
    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…180$60$10.8K
    52441Using a cystourethroscope, the provider places a single permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.10$920$10.1K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.20$410$8.7K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…140$30$4.9K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…20$260$4.2K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…20$240$3.8K

    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
    J058556607,900$1$53.1K
    87798910350$30$41.1K
    5244221050$240$11.5K
    87640111030$30$9.8K
    5059021020$480$9.6K
    992142,0539,80080$70$9.2K
    520003716070$120$8.8K
    84403121070$20$7.2K
    52287283030$210$7K
    992151,9513,32030$110$6.3K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Froedtert Memorial Lutheran Hospital, Inc.WIGeneral Acute Care Hospital$0$157.8M
    Bellin Memorial Hospital Inc.WIGeneral Acute Care Hospital$0$29.2M
    Wisconsin Diagnostic Laboratories LLCWIClinical Medical Laboratory$2.3M$22.7M
    Bellin Memorial Hospital IncWIFamily Medicine Physician$0$19.8M
    Unity Limited PartnershipWICommunity Based Hospice Care Agency$0$16.2M
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Dickinson County Healthcare SystemMIGeneral Acute Care Hospital$0$10.2M
    Community Memorial Hospital Of Menomonee Falls IncWIGeneral Acute Care Hospital$0$10M
    St. Josephs Community Hospital Of West Bend Inc.WIGeneral Acute Care Hospital$0$5.8M
    Holy Family Memorial IncWIGeneral Acute Care Hospital$0$5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Heartland Hospice Services LLCWICommunity Based Hospice Care Agency$0$7.8M
    Katharine TackaberryWIBehavior Analyst$0$5.8M
    Karen KonopWIBehavior Analyst$0$2.7M
    Kerry HoopsWIBehavior Analyst$0$2.1M
    Nicole StotzheimWIBehavior Analyst$0$1.9M
    Kirsten MasrelianWIBehavior Analyst$0$1.6M
    Brown CountyWILocal Education Agency (LEA)$0$1.6M
    Lisa CampbellWIDermatology Physician$466.7K$0
    City Of De PereWILand Ambulance$157K$180.2K
    Hamayun MianWIUrology Physician$146.5K$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. Wisconsin Distribution
    Sean Mcadams — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin