Physician

Sean Michael Carter, MD

According to 2025 Medicare claims, Sean Carter, MD (NPI: 1750812012) practices ophthalmology in the Daphne-Fairhope-Foley, AL market, with the plurality of this provider's patient population coming from Baldwin, AL. This provider's primary affiliated billing organization is PREMIER HEALTH MANAGEMENT, INC. (NPI: 1538154760; TIN: 721356450) and primary practice location at 36606-2457. Carter is affiliated with the Alabama Physician Network, LLC (ACO ID: A3738), participating under the MSSP model.

Carter's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 471 traditional Medicare patients, billed 2,253 HCPCS/CPT codes, and received $204,632 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 4,683 prescription claims across 811 beneficiaries totaling $194,502 in drug costs, led by Lumigan (Bimatoprost). DME data shows 12 claims. Open Payments data shows 3 records totaling $108. 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 $4,027 to $194,502. 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$102K$205K2021 Medicare payment: $2,677 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $44,354 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $177,437 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $204,632 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
20211821$2,677
2022185532$44,354
20233501,655$177,437
20244712,253$204,632

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$97K$195K2017 Drug cost: $4,027 (USD; Tot_Drug_Cst)2018 Drug cost: $4,223 (USD; Tot_Drug_Cst)2019 Drug cost: $9,086 (USD; Tot_Drug_Cst)2020 Drug cost: $14,956 (USD; Tot_Drug_Cst)2021 Drug cost: $15,514 (USD; Tot_Drug_Cst)2022 Drug cost: $28,703 (USD; Tot_Drug_Cst)2023 Drug cost: $135,860 (USD; Tot_Drug_Cst)2024 Drug cost: $194,502 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
20172157$4,027
20183865$4,223
201969131$9,086
202078231$14,956
202189256$15,514
2022225688$28,703
20235672,824$135,860
20248114,683$194,502

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$362$7252024 Medicare payment: $725 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
20241212$725

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more207239$82
92014Established patient complete exam of visual system154167$80
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more224355$56
92083Exam of visual field with extended testing166171$39
92133Imaging of optic nerve230238$23

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
LumiganBimatoprost1294,607$44,802
Prednisolone AcetatePrednisolone Acetate80924,960$38,656
RocklatanNetarsudil Mesylat/Latanoprost371,755$19,458
RhopressaNetarsudil Mesylate29838$11,246
LatanoprostLatanoprost1,16049,876$10,260

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
V2020Frames, purchasesN1212$725

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.3$108ABBVIE 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 Sean Michael Carter, MD?

Tedicare shows public-source Medicare data for Sean Michael Carter, MD (NPI 1750812012), 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 Carter, MD have ACO affiliation data?

Sean Michael Carter, MD is shown with ACO affiliation data for Alabama Physician Network, LLC (MSSP, ACO ID A3738).

What billing organization is linked to Sean Michael Carter, MD?

Sean Michael Carter, MD is linked to PREMIER HEALTH MANAGEMENT, INC. (billing NPI 1538154760) in the available physician profile data.

Does Sean Michael Carter, MD have Open Payments data?

Sean Michael Carter, MD has 3 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.