Physician

Sean Michael Warsch, M.D.

According to 2025 Medicare claims, Sean Warsch, M.D. (NPI: 1750608246) practices hematology/oncology in the Asheville, NC market, with the plurality of this provider's patient population coming from Buncombe, NC. This provider's primary affiliated billing organization is AMERICAN ONCOLOGY PARTNERS PA (NPI: 1265929723; TIN: 824681345) and primary practice location at 28779-4110. Warsch is affiliated with the Mission Health Partners, LLC (ACO ID: A2591) and AdvantagePoint Health Alliance - Western North Carolina, LLC (ACO ID: A5039), participating under the MSSP model.

Warsch's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 885 traditional Medicare patients, billed 181,616 HCPCS/CPT codes, and received $4,670,425 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,668 prescription claims across 289 beneficiaries totaling $4,400,514 in drug costs, led by Pomalyst (Pomalidomide). DME data shows 51 claims. Open Payments data shows 81 records totaling $4,688. 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 $49,024 to $4,670,425. Similarly, Part D prescription costs have risen steadily, from $101,531 to $4,400,514. 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	194	987	$49,024
2017	449	20,596	$353,101
2018	493	73,696	$1,030,320
2019	480	49,493	$849,340
2020	680	137,389	$2,307,845
2021	699	160,038	$3,637,792
2022	829	144,759	$3,366,636
2023	898	146,319	$3,785,412
2024	885	181,616	$4,670,425

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	18	45	$101,531
2016	27	94	$328,655
2017	64	140	$138,218
2018	138	627	$273,073
2019	132	669	$575,293
2020	144	644	$683,415
2021	189	837	$1,932,259
2022	213	928	$2,439,206
2023	255	1,240	$3,246,968
2024	289	1,668	$4,400,514

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	N/R	39	$4,683
2022	N/R	124	$14,601
2023	N/R	90	$16,964
2024	N/R	51	$6,813

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	459	$91
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	153	183	$63
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	312	555	$12
36415	Insertion of needle into vein for collection of blood sample	615	1,535	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	643	1,754	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Pomalyst	Pomalidomide	41	1,148	$840,226
Gammagard Liquid	Immun Glob G(Igg)/Gly/Iga Ov50	24	672	$531,565
Ibrance	Palbociclib	16	448	$234,524
Revlimid	Lenalidomide	12	336	$210,401
Jakafi	Ruxolitinib Phosphate	12	360	$202,610

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
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	11	$2,570
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	23	$2,134
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	17	$2,109

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	81	$4,688	Karyopharm Therapeutics 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

Explore More Providers

FAQ

What Medicare data is available for Sean Michael Warsch, M.D.?

Tedicare shows public-source Medicare data for Sean Michael Warsch, M.D. (NPI 1750608246), 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 Warsch, M.D. have ACO affiliation data?

Sean Michael Warsch, M.D. is shown with ACO affiliation data for Mission Health Partners, LLC (MSSP, ACO ID A2591) and AdvantagePoint Health Alliance - Western North Carolina, LLC (MSSP, ACO ID A5039).

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

Sean Michael Warsch, M.D. is linked to AMERICAN ONCOLOGY PARTNERS PA (billing NPI 1265929723) in the available physician profile data.

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

Sean Michael Warsch, M.D. 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.