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

    NPI 1952669699 · San Diego, CA · Surgical Critical Care Physician

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    Sean Hickey is a surgical critical care physician provider located in San Diego, California. This profile covers 12 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 Hickey
    Address200 W Arbor Dr
    CitySan Diego
    StateCA
    ZIP92103
    TaxonomySurgical Critical Care Physician
    NPI EnumeratedMay 1, 2012

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

    Payer SourceTotal Paid
    Medicare$55.6K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    15100This procedure is a split–thickness autograft from the trunk, arms, or legs.  This excision and placement is for the first 100 cm2 or less or one percent of the body area of an infant or child.20$590$14.2K
    15002The provider incises the skin of a body part with an open wound, burn eschar, or scar contracture to prepare the site to receive a skin graft. This procedure helps in repairing an area of the trunk,…50$180$8.2K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…110$70$7.2K
    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…150$40$6K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…30$180$6K
    15003At the same encounter that the provider prepares 100 cm2 of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft, he extends the site up to an additional 100 cm2.…110$40$4.3K
    15004The provider prepares the skin of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft. This procedure helps in repairing areas of the face, scalp, eyelids, mouth,…20$220$3.3K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$100$2.1K
    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…10$110$1.5K
    16020This CPT code is for the dressing and/or debridement of a partial–thickness burn (either initially or subsequently). In this instance the burn is small (less than 5% of the total body surface area).30$50$1.5K

    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
    9921414,88637,970120$90$23.2K
    992911,4227,22060$180$18.6K
    992321,89812,28090$70$16.3K
    1500476030$280$14.5K
    1500223030$230$14.5K
    1510011020$500$7.5K
    15003310240$30$6K
    992222,0247,35030$110$5K
    992312332,58040$40$3.6K
    992381,1072,43030$70$3.2K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Coastal Medical AssociatesMAAnesthesiology Physician$0$10M
    Raju SinglaMAInternal Medicine Physician$632.7K$0
    Michael AyersMAOrthopaedic Surgery Physician$484.8K$0
    Julius TabeMAFamily Medicine Physician$449.6K$2.5K
    Helen MoreiraMAOphthalmology Physician$443.3K$0
    Casey O'donnellMAPhysical Medicine & Rehabilitation Physician$406.9K$0
    Pushkar KanadeOHInternal Medicine Physician$392.4K$0
    John StevensonMAInternal Medicine Physician$390.5K$0
    Brian DolanMAInternal Medicine Physician$338.2K$0
    Anthony MarksMAInterventional Cardiology Physician$331.7K$200

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Sean Hickey — 2 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California