Active NPI 1275672347 Individual Practitioner Male Practitioner

Dr. Sean Michael Hamilton , MD

Phlebology • Victoria, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sean Hamilton, MD is a certified Phlebology practicing in Victoria, TX. With approximately 26 years of clinical experience since graduating from Virginia Commonwealth University, School Of Medicine in 2000, Dr. Hamilton delivers high-quality medical care to the local community at 1701 E RED RIVER ST.

Dr. Hamilton accepts Medicare assignment.

Frequently performed procedures and clinical services include injection of chemical agent into multiple incompetent veins of leg, ultrasound study of arm or leg veins with compression and maneuvers, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1701 E Red River St

Victoria, TX 779015621

Telephone 3615758346

Fax 3615758351

Associated Practice Facility / Clinic

🏢 Victoria Vein & Surgery Clinic Pllc Facility NPI 1841588878

Medicare Profile & Education

Medical School

Virginia Commonwealth University, School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Phlebology in Victoria, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs Matches City Avg

City Avg: 26.0 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

1 Specialists

Practicing in Victoria, TX (18 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hamilton (26 Years) 26 Yrs

Victoria Specialty Average (26.0 Years) 26.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36471 Injection of chemical agent into multiple incompetent veins of leg	263	80	$400.00	$195.60
93970 Ultrasound study of arm or leg veins with compression and maneuvers	208	193	$400.00	$180.93
99213 Established patient office or other outpatient visit, typically 15 minutes	199	132	$150.00	$90.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	111	$224.26	$126.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	129	129	$295.00	$165.51
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	57	40	$275.00	$113.95
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	55	38	$3000.00	$1214.17
10160 Aspiration of abscess, blood accumulation, blister, or cyst	51	20	$327.00	$74.20
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	38	26	$3800.00	$1020.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	302	163	$150.00	$87.75
36471 Injection of chemical agent into multiple incompetent veins of leg	275	79	$400.00	$193.36
93970 Ultrasound study of arm or leg veins with compression and maneuvers	222	201	$400.00	$182.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$295.00	$162.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	83	$225.00	$122.89
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	57	36	$3000.00	$1273.72
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	55	40	$275.00	$115.74
10160 Aspiration of abscess, blood accumulation, blister, or cyst	41	17	$327.00	$74.17
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	39	26	$3800.00	$1039.20
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	35	24	$156.00	$98.18
29580 Strapping, unna boot	34	18	$133.00	$68.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	357	183	$150.00	$87.78
36471 Injection of chemical agent into multiple incompetent veins of leg	315	88	$400.00	$196.11
93970 Ultrasound study of arm or leg veins with compression and maneuvers	252	224	$400.00	$185.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	149	149	$295.00	$160.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	67	$225.00	$124.79
10160 Aspiration of abscess, blood accumulation, blister, or cyst	83	24	$327.00	$72.20
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	57	38	$275.00	$115.16
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	48	33	$3206.25	$1322.46
29580 Strapping, unna boot	38	24	$133.00	$68.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	21	$111.00	$55.22
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	25	13	$156.00	$101.86
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	23	16	$3800.00	$994.97
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	12	$200.00	$57.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	263	152	$150.00	$89.62
36471 Injection of chemical agent into multiple incompetent veins of leg	241	76	$400.00	$193.33
93970 Ultrasound study of arm or leg veins with compression and maneuvers	236	211	$400.00	$192.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	140	140	$295.00	$165.50
10160 Aspiration of abscess, blood accumulation, blister, or cyst	139	36	$334.06	$74.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	80	$225.00	$127.35
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	61	41	$275.00	$121.98
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	53	39	$3000.00	$1439.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	35	$111.00	$55.40
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	23	18	$3800.00	$1232.69
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	12	11	$3900.00	$1875.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	266	132	$150.00	$73.58
36471 Injection of chemical agent into multiple incompetent veins of leg	255	79	$399.09	$192.33
93970 Ultrasound study of arm or leg veins with compression and maneuvers	228	212	$400.00	$186.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	144	144	$295.00	$158.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	82	$225.00	$105.80
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	62	38	$275.00	$119.12
10021 Fine needle aspiration biopsy, first growth	52	33	$300.00	$60.72
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	38	30	$2631.58	$1479.68
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	35	22	$3800.00	$1289.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	29	$111.00	$44.62
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$200.00	$56.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36471 Injection of chemical agent into multiple incompetent veins of leg	422	108	$400.00	$184.15
99213 Established patient office or other outpatient visit, typically 15 minutes	326	161	$150.00	$71.75
93970 Ultrasound study of arm or leg veins with compression and maneuvers	238	219	$401.68	$186.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	156	156	$295.00	$158.46
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	105	64	$275.00	$114.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	67	$225.00	$106.16
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	71	46	$3800.00	$1169.67
10021 Fine needle aspiration biopsy, first growth	52	34	$300.00	$56.90
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	29	20	$2300.00	$1476.22
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	25	17	$200.00	$55.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$111.00	$43.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36471 Injection of chemical agent into multiple incompetent veins of leg	341	96	$400.00	$179.96
99213 Established patient office or other outpatient visit, typically 15 minutes	256	133	$150.00	$69.94
93970 Ultrasound study of arm or leg veins with compression and maneuvers	213	199	$400.00	$186.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	135	135	$295.00	$157.77
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	110	73	$275.00	$114.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	81	$225.00	$103.09
10021 Fine needle aspiration biopsy, first growth	81	33	$300.00	$117.23
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	71	49	$3800.00	$1436.44
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	17	$200.00	$57.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$111.00	$42.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36471 Injection of chemical agent into multiple incompetent veins of leg	361	103	$400.00	$157.01
99213 Established patient office or other outpatient visit, typically 15 minutes	347	154	$150.00	$67.65
93970 Ultrasound study of arm or leg veins with compression and maneuvers	188	181	$400.00	$179.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$295.00	$154.38
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	118	69	$275.00	$105.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	87	$225.00	$100.70
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	83	52	$3843.37	$1337.04
10021 Fine needle aspiration biopsy, first growth	83	40	$300.00	$115.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	33	$111.00	$41.48
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	14	$200.00	$52.08

Medical Specialties & State Licenses

Phlebology Primary Specialty

NUCC Taxonomy Code: 202K00000X

State License TX M6646

Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.

Surgery

NUCC Taxonomy Code: 208600000X

State License CO 45278

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License TX M6646

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bluecross Blueshield

8BW612 (TX)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 04, 2016

Registered at 1701 E RED RIVER ST, VICTORIA, TX 779015621 (Tel: 3615758346)

📍

Updated Business Mailing Address May 04, 2016

Registered at PO BOX 4532, VICTORIA, TX 779034532 (Tel: 3615758346)

👤

Provider Name / Credentials Updated May 04, 2016

Recorded as SEAN HAMILTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2016

Surgery (License #45278 in CO)

🟢

Initial NPI Registration & Enumeration February 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275672347

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 05, 2007

Last Update: May 04, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 4532

Victoria, TX 779034532

Phone: 3615758346

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.