Physician

Sean Michael Lawless, M.D.

According to 2025 Medicare claims, Sean Lawless, M.D. (NPI: 1720475122) practices cardiology in the Provo-Orem-Lehi, UT market, with the plurality of this provider's patient population coming from Utah, UT. This provider's primary affiliated billing organization is REVERE HEALTH PC (NPI: 1093764805; TIN: 870281028) and primary practice location at 84604-3305. Lawless is affiliated with the Revere Health Collaborative Network, LLC (ACO ID: D0042), participating under the REACH model.

Lawless' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,083 traditional Medicare patients, billed 5,125 HCPCS/CPT codes, and received $433,300 in Medicare payments. The top billing code was 93306 (Ultrasound of heart with color-depicted blood flow, rate, direction and valve function). Part D data shows 4,649 prescription claims across 653 beneficiaries totaling $1,472,658 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 75 records totaling $1,210. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $10,280 to $1,472,658. 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	N/R	N/R	N/R
2021	12	52	$2,626
2022	579	2,476	$205,209
2023	997	4,600	$414,522
2024	1,083	5,125	$433,300

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	19	$10,280
2016	31	198	$26,084
2017	49	248	$39,748
2018	41	206	$41,367
2019	31	132	$14,917
2020	N/R	25	$4,842
2021	17	55	$6,795
2022	221	1,162	$320,235
2023	485	3,193	$901,559
2024	653	4,649	$1,472,658

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
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	590	608	$88
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	339	521	$87
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	372	607	$12
93018	Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	180	182	$10
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	222	262	$10

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	350	20,702	$392,394
Farxiga	Dapagliflozin Propanediol	321	15,745	$294,387
Jardiance	Empagliflozin	125	6,480	$124,180
Camzyos	Mavacamten	12	360	$100,270
Entresto	Sacubitril/Valsartan	104	4,845	$93,859

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.	75	$1,210	PFIZER 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 Sean Michael Lawless, M.D.?

Tedicare shows public-source Medicare data for Sean Michael Lawless, M.D. (NPI 1720475122), 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 Michael Lawless, M.D. have ACO affiliation data?

Sean Michael Lawless, M.D. is shown with ACO affiliation data for Revere Health Collaborative Network, LLC (REACH, ACO ID D0042).

What billing organization is linked to Sean Michael Lawless, M.D.?

Sean Michael Lawless, M.D. is linked to REVERE HEALTH PC (billing NPI 1093764805) in the available physician profile data.

Does Sean Michael Lawless, M.D. have Open Payments data?

Sean Michael Lawless, M.D. has 75 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.