Physician

Sean Ryan, MD

According to 2025 Medicare claims, Sean Ryan, MD (NPI: 1235524968) practices orthopedic surgery in the Durham-Chapel Hill, NC market, with the plurality of this provider's patient population coming from Durham, NC. This provider's primary affiliated billing organization is DUKE HEALTH INTEGRATED PRACTICE, INC. (NPI: 1205553369; TIN: 862109896) and primary practice location at 27705-4699. Ryan is affiliated with the Duke Connected Care, LLC (ACO ID: A2419), participating under the MSSP model.

Ryan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 440 traditional Medicare patients, billed 1,377 HCPCS/CPT codes, and received $241,286 in Medicare payments. The top billing code was 27447 (Replacement of knee joint, both sides of knee). Part D data shows 163 prescription claims across 106 beneficiaries totaling $1,357 in drug costs, led by Gabapentin (Gabapentin). DME data shows 92 claims. Open Payments data shows 93 records totaling $176,384. 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 moved sharply higher in recent years, from $763 to $241,286. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $2,915 and ending at $1,357. 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	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	15	41	$763
2021	154	944	$44,674
2022	284	1,349	$117,185
2023	406	1,349	$176,782
2024	440	1,377	$241,286

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	22	43	$2,915
2016	18	41	$2,224
2017	18	26	$580
2018	29	46	$825
2019	13	18	$544
2020	26	43	$234
2021	90	196	$5,267
2022	67	118	$1,420
2023	103	179	$1,808
2024	106	163	$1,357

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	21	21	$1,185
2022	12	12	$466
2023	39	39	$2,062
2024	57	92	$3,480

* / # = 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
27447	Replacement of knee joint, both sides of knee	88	90	$933
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$106
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	238	276	$82
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	121	138	$59
G2211	Visit 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's	123	129	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gabapentin	Gabapentin	15	570	$124
Cefadroxil	Cefadroxil	11	215	$88
Amoxicillin	Amoxicillin	62	63	$79
Oxycodone Hcl	Oxycodone Hcl	18	83	$71
Tramadol Hcl	Tramadol Hcl	23	99	$42

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0143	Walker, folding, wheeled, adjustable or fixed height	N	57	57	$2,601
E0745	Neuromuscular stimulator, electronic shock unit	Y	N/R	11	$651
K0001	Standard wheelchair	Y	N/R	12	$155
K0195	Elevating leg rests, pair (for use with capped rental wheelchair base)	Y	N/R	12	$72

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	79	$56,749	Zimmer Biomet Holdings, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	14	$119,635	Zimmer Biomet Holdings, Inc.
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 Sean Ryan, MD?

Tedicare shows public-source Medicare data for Sean Ryan, MD (NPI 1235524968), 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 Ryan, MD have ACO affiliation data?

Sean Ryan, MD is shown with ACO affiliation data for Duke Connected Care, LLC (MSSP, ACO ID A2419).

What billing organization is linked to Sean Ryan, MD?

Sean Ryan, MD is linked to DUKE HEALTH INTEGRATED PRACTICE, INC. (billing NPI 1205553369) in the available physician profile data.

Does Sean Ryan, MD have Open Payments data?

Sean Ryan, MD has 93 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.