npidexNPI registry + Medicare data

SEAN WHELTON, M.D.

Rheumatology Physician · WASHINGTON, DC

Individual Active NPI 1659370757

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
202499795$89,099$40,980$30,833
202390262$66,373$32,256$23,429
202295279$62,587$32,700$24,934

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more120$150$108
G2211Visit 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's108$19$15
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more42$210$151
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes27$89$72
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes13$196$159

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Rheumatology Physician207RR0500X✓MD32259DC
Rheumatology Physician207RR0500X0101058120VA

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.