Physician

Daniel J. Sheehan, MD

According to 2025 Medicare claims, Daniel Sheehan, MD (NPI: 1619088671) practices dermatology in the Augusta-Richmond County, GA-SC market, with the plurality of this provider's patient population coming from Columbia, GA. This provider's primary affiliated billing organization is HARMONIE MEDICAL (NPI: 1245563097; TIN: 27-0904127) and primary practice location at 30809-3115. Sheehan is affiliated with the WellStar Clinical Partners Medicare ACO, LLC (ACO ID: A4803), participating under the MSSP model.

Sheehan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 868 traditional Medicare patients, billed 2,863 HCPCS/CPT codes, and received $284,912 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 1,201 prescription claims across 420 beneficiaries totaling $1,393,027 in drug costs, led by Dupixent Pen (Dupilumab). Open Payments data shows 81 records totaling $1,945. 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 have moved sharply higher in recent years, from $71,070 to $1,393,027. 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$376K$752K2015 Medicare payment: $455,994 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $608,881 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $743,772 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $751,571 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $543,023 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $605,410 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $478,738 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $486,112 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $411,597 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $284,912 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,6767,627$455,994
20162,20411,808$608,881
20172,33412,965$743,772
20182,45312,957$751,571
20191,6116,318$543,023
20201,8429,190$605,410
20211,3736,348$478,738
20221,3345,717$486,112
20231,3444,459$411,597
20248682,863$284,912

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$697K$1.4M2015 Drug cost: $71,070 (USD; Tot_Drug_Cst)2016 Drug cost: $154,477 (USD; Tot_Drug_Cst)2017 Drug cost: $147,885 (USD; Tot_Drug_Cst)2018 Drug cost: $139,516 (USD; Tot_Drug_Cst)2019 Drug cost: $149,556 (USD; Tot_Drug_Cst)2020 Drug cost: $581,314 (USD; Tot_Drug_Cst)2021 Drug cost: $976,252 (USD; Tot_Drug_Cst)2022 Drug cost: $1,202,830 (USD; Tot_Drug_Cst)2023 Drug cost: $1,299,255 (USD; Tot_Drug_Cst)2024 Drug cost: $1,393,027 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015250464$71,070
2016386732$154,477
20174981,016$147,885
20185791,210$139,516
2019483961$149,556
20206211,696$581,314
20215181,304$976,252
20225841,599$1,202,830
20236351,646$1,299,255
20244201,201$1,393,027

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
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks226272$479
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more239300$85
11102Biopsy of related skin growth, first growth174196$59
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more473566$56
17000Destruction of precancer skin growth, 1 growth248291$32

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Dupixent PenDupilumab732,170$261,846
Cosentyx Sensoready (2 Pens)Secukinumab34986$248,967
Dupixent SyringeDupilumab541,512$201,515
OtezlaApremilast261,020$140,324
Taltz AutoinjectorIxekizumab12336$80,855

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.81$1,945Janssen Biotech, 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 Daniel J. Sheehan, MD?

Tedicare shows public-source Medicare data for Daniel J. Sheehan, MD (NPI 1619088671), 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 Daniel J. Sheehan, MD have ACO affiliation data?

Daniel J. Sheehan, MD is shown with ACO affiliation data for WellStar Clinical Partners Medicare ACO, LLC (MSSP, ACO ID A4803).

What billing organization is linked to Daniel J. Sheehan, MD?

Daniel J. Sheehan, MD is linked to HARMONIE MEDICAL (billing NPI 1245563097) in the available physician profile data.

Does Daniel J. Sheehan, MD have Open Payments data?

Daniel J. Sheehan, MD has 81 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.