Medicare Enrolled
Dr. Sean Sutphen, DO
Orthopedic Surgery · Bannockburn, IL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Sutphen from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Sutphen
Dr. Sean Sutphen is an orthopedic surgery specialist in Bannockburn, IL, with 14 years of NPI registration. Based on federal Medicare data, Dr. Sutphen performed 3,893 Medicare services across 3,007 unique beneficiaries.
Between the years covered by Open Payments, Dr. Sutphen received a total of $8,495 from 28 pharmaceutical and/or device companies across 138 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Sutphen is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 14 years in practice
▲ Top 20% volume in IL
$8,495 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,893
Medicare services
Top 20% in IL for orthopedic surgery
3,007
Unique beneficiaries
$107
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~278 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
685 | $95 | $285 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
427 | $59 | $307 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
412 | $37 | $161 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
377 | $68 | $205 |
| Knee X-ray, 4 or more views An imaging test using X-rays to create multiple pictures of the knee joint from different angles. |
321 | $41 | $177 |
| Hyaluronan injection (Euflexxa) for joint An injection of hyaluronan or its derivative, specifically Euflexxa, administered directly into a joint space. |
298 | $99 | $325 |
| Injection, methylprednisolone acetate, 40 mg | 223 | $6 | $19 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
167 | $123 | $377 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
164 | $33 | $133 |
| MRI of leg joint, without contrast A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye. |
121 | $117 | $1,281 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
105 | $32 | $143 |
| X-ray for bone length assessment An X-ray image is taken to measure and evaluate the length of bones. |
82 | $35 | $205 |
| Computer-assisted surgery for muscle and bone procedure A surgical procedure involving muscles or bones that utilizes computer technology to assist with planning or execution. |
81 | $129 | $936 |
| Total knee replacement | 81 | $1,120 | $8,311 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
69 | $79 | $255 |
| Total hip replacement Surgical procedure to replace the thigh bone and hip joint with artificial components. |
65 | $1,123 | $8,779 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
46 | $143 | $400 |
| X-ray of both hips, 3-4 views An X-ray imaging test that captures 3 to 4 views of both hip joints to visualize the bones and surrounding structures. |
29 | $42 | $190 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
21 | $102 | $295 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
20 | $25 | $127 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
19 | $71 | $230 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
16 | $32 | $139 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
16 | $75 | $205 |
| Computer-assisted surgical navigation Use of computer technology and fluoroscopic imaging to guide orthopedic surgical procedures with precision. |
14 | $139 | $500 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
12 | $31 | $128 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
11 | $26 | $141 |
| CT scan of leg, without contrast A computed tomography scan of the leg performed without the use of contrast dye. This imaging test uses X-rays to create detailed cross-sectional images of the leg's internal structures. |
11 | $75 | $851 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
5.8% high complexity
27.7% medium
66.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$8,495
Total received (2018-2024)
Avg $1,214/year across 7 years
Top 31% in IL for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
138
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,495 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$997
2023
$469
2022
$367
2021
$448
2020
$986
2019
$877
2018
$4,351
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Zimmer Biomet Holdings, Inc.
$893
Ferring Pharmaceuticals Inc.
$58
DePuy Synthes Sales Inc.
$46
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$2,316
Zimmer Biomet Holdings, Inc.
$1,459
Arthrex, Inc.
$1,052
Exactech, Inc.
$613
Smith+Nephew, Inc.
$474
Medtronic USA, Inc.
$448
Ferring Pharmaceuticals Inc.
$349
Horizon Therapeutics plc
$261
Flexion Therapeutics, Inc.
$206
PFIZER INC.
$148
DePuy Synthes Sales Inc.
$140
Total Joint Orthopedics, Inc.
$135
Smith & Nephew, Inc.
$130
ORTHALIGN INC
$128
KCI USA, Inc
$124
Pacira Therapeutics, Inc.
$115
Bioventus LLC
$68
Intellijoint Surgical Inc.
$65
Kerecis Limited
$57
Orthofix Medical, Inc.
$53
Amgen Inc.
$25
Radius Health, Inc.
$24
SANOFI-AVENTIS U.S. LLC
$23
HERAEUS MEDICAL, LLC.
$21
Heron Therapeutics, Inc.
$19
Abbott Laboratories
$18
Ethicon US, LLC
$13
Dynasplint Systems Inc.
$10
Top 3 companies account for 56.8% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · AQUAMANTYS · DUEXIS · Durolane · Dynasplint · ELIQUIS · EUFLEXXA · EVENITY · Equinoxe · Exogen · G7 · GELSYN-3 · INTELLIS · Intellijoint HIP · Kerecis Omega3 Wound · MAKO · MONOVISC · NAVIO · Novation · ORTHALIGN PLUS · OrthAlign Plus System · PALACOS · PENNSAID · PINNACLE · PREVENA · Persona · Physio-Stim · Physio-Stim Osteogenesis Stimulator · Proclaim IPG · RAYOS · REAL INTELLIGENCE · REDAPT · ROSA · STRATAFIX · SYNVISC-ONE · TRIATHLON · Truliant · Tymlos · Zilretta · Zynrelef
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Orthopedic surgeons within 10 mi
443
Per 100K population
62.2
County median income
$108,917
Nearest hospital
NORTHWESTERN LAKE FOREST HOSPITAL
4.5 mi
4.5 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Sutphen is a clinical cardiology specialist, with above-average Medicare volume (top 20% in IL), with low-engagement industry engagement.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Sutphen experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Sutphen performed 685 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Sutphen receive payments from pharmaceutical companies?
Yes. Dr. Sutphen received a total of $8,495 from 28 companies across 138 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Sutphen's costs compare to other orthopedic surgeons in Bannockburn?
Dr. Sutphen's average Medicare payment per service is $107. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Sutphen) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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