Physician

Shawn P Mckay, MD

According to 2025 Medicare claims, Shawn Mckay, MD (NPI: 1104837707) practices otolaryngology in the Florence, SC market, with the plurality of this provider's patient population coming from Florence, SC. This provider's primary affiliated billing organization is FLORENCE EARS, NOSE & THROAT, PC (NPI: 1730292376; TIN: 020654512) and primary practice location at 29505-6174. Mckay is affiliated with the McLeod Healthcare Network, LLC (ACO ID: A3677), participating under the MSSP model.

Mckay's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 674 traditional Medicare patients, billed 2,603 HCPCS/CPT codes, and received $264,098 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,142 prescription claims across 400 beneficiaries totaling $256,454 in drug costs, led by Dupixent Pen (Dupilumab). DME data shows 188 claims. Open Payments data shows 4 records totaling $124. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $187,652 to $264,098. Similarly, Part D prescription costs have moved sharply higher in recent years, from $29,743 to $256,454. In contrast, DME billing represents a smaller volume and rose steadily, from $7,616 to $8,208.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$156K$312K2015 Medicare payment: $187,652 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $225,729 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $195,437 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $185,495 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $207,727 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $216,071 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $257,276 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $312,265 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $295,424 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $264,098 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20158142,445$187,652
20167452,387$225,729
20177052,158$195,437
20187232,291$185,495
20196872,324$207,727
20207022,037$216,071
20217332,258$257,276
20227522,312$312,265
20237492,673$295,424
20246742,603$264,098

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$128K$256K2015 Drug cost: $29,743 (USD; Tot_Drug_Cst)2016 Drug cost: $29,463 (USD; Tot_Drug_Cst)2017 Drug cost: $31,878 (USD; Tot_Drug_Cst)2018 Drug cost: $25,958 (USD; Tot_Drug_Cst)2019 Drug cost: $24,293 (USD; Tot_Drug_Cst)2020 Drug cost: $52,824 (USD; Tot_Drug_Cst)2021 Drug cost: $52,352 (USD; Tot_Drug_Cst)2022 Drug cost: $117,331 (USD; Tot_Drug_Cst)2023 Drug cost: $106,608 (USD; Tot_Drug_Cst)2024 Drug cost: $256,454 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015299823$29,743
2016305846$29,463
2017299908$31,878
2018277822$25,958
2019278776$24,293
2020279860$52,824
2021304816$52,352
2022365960$117,331
20234021,126$106,608
20244001,142$256,454

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$6.0K$12K2015 Medicare payment: $3,508 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $2,354 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $6,159 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $5,888 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $5,792 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $6,235 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $5,914 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $12,025 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $9,137 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $6,644 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R85$3,508
2016N/R90$2,354
201740213$6,159
201871193$5,888
201952182$5,792
202041175$6,235
202113147$5,914
202290279$12,025
202351208$9,137
202426188$6,644

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more142185$81
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more253253$72
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more319510$60
69210Removal of impacted ear wax177244$32
92567Test to assess middle ear function113116$11

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Dupixent PenDupilumab441,680$233,896
Ipratropium BromideIpratropium Bromide823,894$3,273
CefdinirCefdinir1071,333$2,096
Neomycin-Polymyxin-HydrocortNeomycin/Polymyxin B/Hydrocort32490$1,635
Azelastine HclAzelastine Hcl241,249$1,178

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A7031Face mask interface, replacement for full face mask, eachNN/R26$1,746
A7030Full face mask used with positive airway pressure device, eachNN/R25$1,713
E0601Continuous positive airway pressure (cpap) deviceYN/R39$1,103
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapNN/R13$711
A4604Tubing with integrated heating element for use with positive airway pressure deviceNN/R15$510

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.4$124Inspire Medical Systems, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Shawn P. Mckay, MD?

Tedicare shows public-source Medicare data for Shawn P. Mckay, MD (NPI 1104837707), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Shawn P. Mckay, MD have ACO affiliation data?

Shawn P. Mckay, MD is shown with ACO affiliation data for McLeod Healthcare Network, LLC (MSSP, ACO ID A3677).

What billing organization is linked to Shawn P. Mckay, MD?

Shawn P. Mckay, MD is linked to FLORENCE EARS, NOSE & THROAT, PC (billing NPI 1730292376) in the available physician profile data.

Does Shawn P. Mckay, MD have Open Payments data?

Shawn P. Mckay, MD has 4 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.