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NPI 1982767141 · Lansdale, PA · Otolaryngology Physician
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Sean Smullen is a otolaryngology physician provider located in Lansdale, Pennsylvania. This profile covers 16 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Sean Smullen |
| Address | 2100 N Broad St |
| City | Lansdale |
| State | PA |
| ZIP | 19446 |
| Taxonomy | Otolaryngology Physician |
| NPI Enumerated | December 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $243.1K |
| Medicaid | $380 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 510 | $100 | $50.3K |
| 99213 | The 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… | 700 | $70 | $46.1K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 250 | $160 | $39.7K |
| 99204 | The 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… | 200 | $130 | $25K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 680 | $30 | $23.1K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 150 | $110 | $16.1K |
| 92557 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to… | 360 | $30 | $10.3K |
| 99203 | The provider sees a new 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 provider… | 130 | $80 | $10.1K |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 160 | $40 | $6.6K |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 350 | $10 | $4.5K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 31231 | 36 | 320 | 60 | $130 | $15K |
| 99214 | 1,688 | 23,230 | 100 | $80 | $14.5K |
| 99223 | 5,245 | 7,020 | 40 | $130 | $7.8K |
| 99213 | 478 | 22,370 | 70 | $60 | $7.7K |
| 31575 | 42 | 380 | 60 | $90 | $6.6K |
| 99204 | 139 | 10,290 | 30 | $110 | $5K |
| 30903 | 6 | 10 | 20 | $200 | $3.6K |
| 99203 | 487 | 7,330 | 30 | $70 | $3.5K |
| 92557 | 32 | 490 | 90 | $30 | $3.4K |
| 69433 | 28 | 50 | 20 | $160 | $2.8K |
Showing 1–10 of 16
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99203 | The provider sees a new 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 provider… | 10 | $30 | $370 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99203 | The provider sees a new 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 provider… | 1,483 | 1,620 | 80 | $60 | $28.4K |
Other providers in the same ZIP code as Sean Smullen, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Precise Point, Inc. | PA | Home Health Agency | $0 | $30.2M |
| Volunteer Medical Service Corps Of Lansdale | PA | Land Ambulance | $1.6M | $2.5M |
| Montgomery Surgery Center LLC. | PA | Ambulatory Surgical Clinic/Center | $1.3M | $0 |
| David Kasper | PA | Dermatology Physician | $765.2K | $0 |
| Neil Mushlin | PA | Pulmonary Disease Physician | $669.7K | $0 |
| James Barrett | PA | Cardiovascular Disease Physician | $558.5K | $0 |
| Alex Morse | PA | Cardiovascular Disease Physician | $517K | $0 |
| Eric Rosenwinkel | PA | Clinical Cardiac Electrophysiology Physician | $505.7K | $0 |
| Robert O'sullivan | PA | Cardiovascular Disease Physician | $477.5K | $0 |
| Carolyn Van Why | PA | Cardiovascular Disease Physician | $459.2K | $0 |
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