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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSean Delair
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    Sean Delair — Billing Profile & Reimbursement Data

    NPI 1730155094 · Powell, TN · Urology Physician

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    Sean Delair is a urology physician provider located in Powell, Tennessee. This profile covers 25 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 Delair
    Address7557 Dannaher Dr Ste 230
    CityPowell
    StateTN
    ZIP37849
    TaxonomyUrology Physician
    NPI EnumeratedFebruary 27, 2006

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

    Payer SourceTotal Paid
    Medicare$208.9K
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…610$60$37.9K
    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…400$90$34.6K
    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…190$160$31.8K
    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…230$110$23.9K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…50$310$15.9K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…30$520$12.9K
    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…50$230$11.3K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.20$430$7.7K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.50$100$4.9K
    55700Code deleted December 31, 2025.30$140$4K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64590193020$3,740$67.3K
    64561193020$1,560$43.7K
    5244281080$270$23.1K
    5260173020$830$17.3K
    992141,86811,370120$80$16.6K
    52356710020$570$15.5K
    520001920090$140$15.5K
    50590143020$520$10.9K
    557004811020$250$10.2K
    5244181020$420$8.8K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Knoxville Hma Physician Management, LLCTNPulmonary Disease Physician$0$8.7M
    William ThetfordFLFoot & Ankle Surgery Podiatrist$481.5K$0
    Adam ShrewsberryTNUrology Physician$476.7K$0
    Joseph EatherlyTNSpecialist$394.3K$3.9K
    Nilesh PatelTNRadiation Oncology Physician$329.6K$0
    Lee CongletonTNUrology Physician$326.1K$0
    Srinivas BoppanaTNRadiation Oncology Physician$324.8K$0
    Rachel VannTNFamily Nurse Practitioner$320.5K$1.7K
    Christopher RamseyTNUrology Physician$299K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Metro Knoxville Hma LLCTNGeneral Acute Care Hospital$0$28.7M
    Mitchell MartinTNHematology & Oncology Physician$4.7M$0
    Yi FengTNHematology & Oncology Physician$4M$0
    App Of East Tennessee Ed PLLCTNEmergency Medicine Physician$0$2.3M
    Eye Surgery Center Of Knoxville, LLCTNAmbulatory Surgical Clinic/Center$1M$188.4K
    Kevin GallaherTNOphthalmology Physician$374.3K$0
    Tec North, LLCTNAmbulatory Surgical Clinic/Center$366.6K$0
    Jared SpoonsTNInternal Medicine Physician$187.9K$0
    Rashmi HottigoudarTNClinical Cardiac Electrophysiology Physician$178.3K$0
    Brian ParkerTNUrology Physician$170.2K$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. Tennessee Distribution
    Sean Delair — 3 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee