Physician

Roger Sebastian Sica, DO

According to 2025 Medicare claims, Roger Sica, DO (NPI: 1154578797) practices dermatology in the Wilmington, NC market, with the plurality of this provider's patient population coming from Brunswick, NC. This provider's primary affiliated billing organization is SUMMIT COSMETIC SURGERY CENTER,PA (NPI: 1922061092; TIN: 561973954) and primary practice location at 28462-4216.

Sica's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,650 traditional Medicare patients, billed 6,378 HCPCS/CPT codes, and received $918,481 in Medicare payments. The top billing code was 17311 (Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks). Part D data shows 1,882 prescription claims across 1,155 beneficiaries totaling $81,045 in drug costs, led by Fluorouracil (Fluorouracil). Open Payments data shows 10 records totaling $241. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $241,436 to $81,045. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	2,234	9,890	$832,033
2016	2,238	10,250	$805,817
2017	2,427	9,561	$848,804
2018	1,990	8,704	$1,084,769
2019	2,254	9,040	$1,288,796
2020	2,059	8,092	$1,329,775
2021	2,045	7,955	$1,273,673
2022	2,002	7,401	$1,187,079
2023	1,883	6,552	$1,088,627
2024	1,650	6,378	$918,481

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	980	2,075	$241,436
2016	985	2,118	$302,376
2017	931	1,777	$253,415
2018	971	1,870	$192,693
2019	971	1,906	$190,635
2020	934	1,814	$78,937
2021	969	1,693	$59,553
2022	896	1,568	$47,004
2023	955	1,509	$70,164
2024	1,155	1,882	$81,045

DME Billing Trend

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

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
17311	Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	666	819	$492
17312	Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	350	502	$306
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	732	861	$56
17000	Destruction of precancer skin growth, 1 growth	415	489	$34
17003	Destruction of precancer skin growth, 2-14 growths	285	1,555	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Fluorouracil	Fluorouracil	76	2,292	$4,900
Cephalexin	Cephalexin	759	6,391	$4,432
Clobetasol Propionate	Clobetasol Propionate	96	2,807	$3,758
Doxycycline Monohydrate	Doxycycline Monohydrate	159	2,352	$1,754
Tretinoin	Tretinoin	17	500	$1,658

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	10	$241	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Roger Sebastian Sica, DO?

Tedicare shows public-source Medicare data for Roger Sebastian Sica, DO (NPI 1154578797), 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 Roger Sebastian Sica, DO have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Roger Sebastian Sica, DO?

Roger Sebastian Sica, DO is linked to SUMMIT COSMETIC SURGERY CENTER,PA (billing NPI 1922061092) in the available physician profile data.

Does Roger Sebastian Sica, DO have Open Payments data?

Roger Sebastian Sica, DO has 10 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.