Physician

Sean N Higginson, MD

According to 2025 Medicare claims, Sean Higginson, MD (NPI: 1235350299) practices diagnostic radiology in the Staunton-Stuarts Draft, VA market, with the plurality of this provider's patient population coming from Augusta, VA. This provider's primary affiliated billing organization is AUGUSTA HEALTH CARE, INC. (NPI: 1720717044; TIN: 541453954) and primary practice location at 22939-1000. Higginson is affiliated with the Augusta Care Partners, LLC (ACO ID: A2266), participating under the MSSP model.

Higginson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,909 traditional Medicare patients, billed 33,674 HCPCS/CPT codes, and received $241,881 in Medicare payments. The top billing code was 72148 (Mri scan of lower spinal canal without contrast). No Open Payments records. 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 declined steadily, from $346,368 to $241,881. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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.

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$194K$388K2015 Medicare payment: $346,368 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $359,143 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $376,569 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $387,682 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $359,714 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $340,326 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $311,367 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $254,411 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $224,690 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $241,881 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20156,36825,148$346,368
20165,56436,250$359,143
20175,63435,465$376,569
20185,43441,700$387,682
20195,34834,774$359,714
20204,55738,451$340,326
20214,29435,974$311,367
20223,76529,910$254,411
20233,29032,962$224,690
20242,90933,674$241,881

Part D Events Trend

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

No connected Part D records

No connected Part D records

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
72148Mri scan of lower spinal canal without contrast317319$115
70450Ct scan head or brain without contrast347357$31
71046X-ray of chest, 2 views247253$10
71045X-ray of chest, 1 view384419$6
82565Blood creatinine level185187$5

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Sean N. Higginson, MD?

Tedicare shows public-source Medicare data for Sean N. Higginson, MD (NPI 1235350299), 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 Sean N. Higginson, MD have ACO affiliation data?

Sean N. Higginson, MD is shown with ACO affiliation data for Augusta Care Partners, LLC (MSSP, ACO ID A2266).

What billing organization is linked to Sean N. Higginson, MD?

Sean N. Higginson, MD is linked to AUGUSTA HEALTH CARE, INC. (billing NPI 1720717044) in the available physician profile data.

Does Sean N. Higginson, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.