SEAN MCLAUGHLIN, M.D.
Urology Physician · CLARKSVILLE, TN
Individual Active NPI 1669415667
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 284 | 930 | $336,165 | $123,271 | $92,612 |
| 2023 | 616 | 1,706 | $310,808 | $142,328 | $95,170 |
| 2022 | 1,173 | 7,311 | $675,891 | $370,971 | $272,101 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 186 | $117 | $81 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 174 | $73 | $57 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 97 | $82 | $63 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 63 | $212 | $160 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 56 | $120 | $92 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 50 | $153 | $111 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 44 | $116 | $83 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 36 | $81 | $64 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 21 | $21 | $15 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 19 | $9 | $7 |
| 81003 | Automated urinalysis test | 18 | $2 | $2 |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 16 | $374 | $278 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | SM087685 | MI |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- 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.