Physician

Sean T Mcguire, MD

According to 2025 Medicare claims, Sean Mcguire, MD (NPI: 1659647196) practices dermatology in the Everett, WA market, with the plurality of this provider's patient population coming from Snohomish, WA. This provider's primary affiliated billing organization is OPTUM CARE WASHINGTON PLLC (NPI: 1831186766; TIN: 910214500) and primary practice location at 98201-4911. Mcguire is affiliated with the CareMount Value Partners IPA (ACO ID: D0019), participating under the REACH model.

Mcguire's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 483 traditional Medicare patients, billed 1,492 HCPCS/CPT codes, and received $419,086 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 636 prescription claims across 521 beneficiaries totaling $4,399 in drug costs, led by Cephalexin (Cephalexin). 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 moved sharply higher in recent years, from $277,233 to $419,086. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $68,285 and ending at $4,399. 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$224K$448K2017 Medicare payment: $277,233 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $370,034 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $144,846 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $151,101 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $174,734 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $172,902 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $448,307 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $419,086 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
20179872,980$277,233
20181,3684,811$370,034
20193171,562$144,846
20203451,758$151,101
20214221,857$174,734
20224652,028$172,902
20235031,441$448,307
20244831,492$419,086

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$177K$354K2015 Drug cost: $68,285 (USD; Tot_Drug_Cst)2016 Drug cost: $70,518 (USD; Tot_Drug_Cst)2017 Drug cost: $12,439 (USD; Tot_Drug_Cst)2018 Drug cost: $29,094 (USD; Tot_Drug_Cst)2019 Drug cost: $35,139 (USD; Tot_Drug_Cst)2020 Drug cost: $14,668 (USD; Tot_Drug_Cst)2021 Drug cost: $38,708 (USD; Tot_Drug_Cst)2022 Drug cost: $353,523 (USD; Tot_Drug_Cst)2023 Drug cost: $94,555 (USD; Tot_Drug_Cst)2024 Drug cost: $4,399 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015147418$68,285
2016101237$70,518
2017229303$12,439
2018342562$29,094
2019148267$35,139
2020134322$14,668
2021233442$38,708
2022372810$353,523
2023478666$94,555
2024521636$4,399

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 blocks314385$453
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks7085$321
12032Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm125137$221
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm122136$192
11602Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm6975$98

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CephalexinCephalexin4411,837$2,223
Doxycycline HyclateDoxycycline Hyclate86382$436
MupirocinMupirocin24524$400
Doxycycline MonohydrateDoxycycline Monohydrate14101$154
DiazepamDiazepam1620$12

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 T. Mcguire, MD?

Tedicare shows public-source Medicare data for Sean T. Mcguire, MD (NPI 1659647196), 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 T. Mcguire, MD have ACO affiliation data?

Sean T. Mcguire, MD is shown with ACO affiliation data for CareMount Value Partners IPA (REACH, ACO ID D0019).

What billing organization is linked to Sean T. Mcguire, MD?

Sean T. Mcguire, MD is linked to OPTUM CARE WASHINGTON PLLC (billing NPI 1831186766) in the available physician profile data.

Does Sean T. Mcguire, 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.