SEAN HERON, M.D.
Urology Physician · ST PETERSBURG, FL
Individual Active NPI 1164486262
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 648 | 14,887 | $1,204,368 | $653,623 | $510,476 |
| 2023 | 757 | 14,481 | $1,270,025 | $595,088 | $459,879 |
| 2022 | 747 | 13,893 | $1,055,643 | $442,543 | $340,555 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 81001 | Manual urinalysis test with examination using microscope, automated | 787 | $3 | $3 |
| J1644 | Injection, heparin sodium, per 1000 units | 764 | $0 | $0 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 744 | $132 | $96 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 508 | $17 | $13 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 203 | $93 | $67 |
| 36415 | Insertion of needle into vein for collection of blood sample | 172 | $7 | $7 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 146 | $178 | $141 |
| 76775 | Limited ultrasound scan behind abdominal cavity | 123 | $60 | $45 |
| 81003 | Automated urinalysis test | 122 | $2 | $2 |
| 96372 | Injection of drug or substance under skin or into muscle | 120 | $15 | $11 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 119 | $65 | $52 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 104 | $240 | $186 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | ME68349 | FL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.