Dr. Sean Gaines, DO

NPI: 1609217934
Total Payments
$1,854
2024 Payments
$103.85
Companies
11
Transactions
28
Medicare Patients
1,755
Medicare Billing
$253,268

Payment Breakdown by Category

Travel$995.70 (53.7%)
Food & Beverage$858.69 (46.3%)

Payments by Nature

Nature of Payment Amount Transactions Share
Travel and Lodging $995.70 2 53.7%
Food and Beverage $858.69 26 46.3%

Top Paying Companies

Company Total Records Latest Year
Fresenius USA Marketing, Inc. $1,411 3 $0 (2019)
Horizon Therapeutics plc $127.19 13 $0 (2023)
Otsuka America Pharmaceutical, Inc. $120.15 1 $0 (2018)
CALLIDITAS THERAPEUTICS US INC. $54.32 3 $0 (2024)
Amgen Inc. $34.52 2 $0 (2024)
Abbott Laboratories $23.41 1 $0 (2022)
NxStage Medical, Inc. $23.13 1 $0 (2018)
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $20.28 1 $0 (2020)
Renalytix AI, Inc. $15.53 1 $0 (2023)
AstraZeneca Pharmaceuticals LP $15.01 1 $0 (2024)

Payment History by Year

Year Amount Transactions Top Company
2024 $103.85 6 CALLIDITAS THERAPEUTICS US INC. ($54.32)
2023 $142.72 14 Horizon Therapeutics plc ($127.19)
2022 $23.41 1 Abbott Laboratories ($23.41)
2020 $20.28 1 ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($20.28)
2019 $1,421 4 Fresenius USA Marketing, Inc. ($1,411)
2018 $143.28 2 Otsuka America Pharmaceutical, Inc. ($120.15)

All Payment Transactions

28 individual payment records from CMS Open Payments — Page 1 of 2

Date Company Product Nature Form Amount Type
08/14/2024 CALLIDITAS THERAPEUTICS US INC. TARPEYO (Drug) Food and Beverage In-kind items and services $20.00 General
Category: Nephrology
07/18/2024 Amgen Inc. KRYSTEXXA (Biological) Food and Beverage In-kind items and services $17.02 General
Category: Inflammation/Rare Disease
07/15/2024 AstraZeneca Pharmaceuticals LP WAINUA (Drug) Food and Beverage In-kind items and services $15.01 General
Category: Cardiovascular and Metabolism
06/19/2024 CALLIDITAS THERAPEUTICS US INC. TARPEYO (Drug) Food and Beverage In-kind items and services $16.99 General
Category: Nephrology
04/03/2024 CALLIDITAS THERAPEUTICS US INC. TARPEYO (Drug) Food and Beverage In-kind items and services $17.33 General
Category: Nephrology
01/31/2024 Amgen Inc. KRYSTEXXA (Biological) Food and Beverage In-kind items and services $17.50 General
Category: Inflammation/Rare Disease
11/30/2023 Horizon Therapeutics plc KRYSTEXXA (Biological) Food and Beverage In-kind items and services $3.97 General
Category: KRYSTEXXA
11/09/2023 Horizon Therapeutics plc KRYSTEXXA (Biological) Food and Beverage In-kind items and services $12.44 General
Category: KRYSTEXXA
10/19/2023 Horizon Therapeutics plc KRYSTEXXA (Biological) Food and Beverage In-kind items and services $12.86 General
Category: KRYSTEXXA
10/18/2023 Horizon Therapeutics plc KRYSTEXXA (Biological) Food and Beverage In-kind items and services $14.08 General
Category: KRYSTEXXA
10/11/2023 Horizon Therapeutics plc KRYSTEXXA (Biological) Food and Beverage In-kind items and services $12.60 General
Category: KRYSTEXXA
10/10/2023 Horizon Therapeutics plc KRYSTEXXA (Biological) Food and Beverage In-kind items and services $11.20 General
Category: KRYSTEXXA
10/10/2023 Horizon Therapeutics plc KRYSTEXXA (Biological) Food and Beverage In-kind items and services $9.25 General
Category: KRYSTEXXA
09/21/2023 Horizon Therapeutics plc KRYSTEXXA (Biological) Food and Beverage In-kind items and services $3.37 General
Category: KRYSTEXXA
09/18/2023 Horizon Therapeutics plc KRYSTEXXA (Biological) Food and Beverage In-kind items and services $8.99 General
Category: KRYSTEXXA
08/16/2023 Horizon Therapeutics plc KRYSTEXXA (Biological) Food and Beverage In-kind items and services $7.96 General
Category: KRYSTEXXA
07/19/2023 Horizon Therapeutics plc KRYSTEXXA (Biological) Food and Beverage In-kind items and services $18.51 General
Category: KRYSTEXXA
06/15/2023 Horizon Therapeutics plc KRYSTEXXA (Biological) Food and Beverage In-kind items and services $6.88 General
Category: KRYSTEXXA
05/22/2023 Renalytix AI, Inc. KIDNEYINTELX BLOOD COLLECTION CONVENIENCE KIT (Device) Food and Beverage In-kind items and services $15.53 General
Category: INTERNAL MEDICINE
04/11/2023 Horizon Therapeutics plc KRYSTEXXA (Biological) Food and Beverage In-kind items and services $5.08 General
Category: KRYSTEXXA
08/15/2022 Abbott Laboratories CARDIOMEMS (Device) Food and Beverage In-kind items and services $23.41 General
Category: Heart Failure
07/08/2020 ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) LifeVest (Device) Food and Beverage Cash or cash equivalent $20.28 General
Category: Electromedical and Electrotherapeutic Apparatus
05/07/2019 AKEBIA THERAPEUTICS INC AURYXIA (Drug) Food and Beverage Cash or cash equivalent $9.59 General
Category: NEPHROLOGY
01/18/2019 Fresenius USA Marketing, Inc. Travel and Lodging Cash or cash equivalent $765.87 General
01/18/2019 Fresenius USA Marketing, Inc. Food and Beverage In-kind items and services $415.56 General

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 7 341 726 $122,577 $49,638
2022 6 451 996 $183,940 $69,825
2021 6 501 982 $189,350 $71,663
2020 9 462 780 $477,538 $62,142
Total Patients
1,755
Total Services
3,484
Medicare Billing
$253,268
Procedure Codes
28

All Medicare Procedures & Services

28 procedure records from CMS Medicare Utilization — Page 1 of 2

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes Facility 2023 131 384 $54,528 $23,264 42.7%
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes Facility 2023 93 98 $26,460 $9,478 35.8%
90935 Hemodialysis procedure with physician evaluation Facility 2023 47 118 $16,992 $6,472 38.1%
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes Facility 2023 33 69 $14,145 $6,322 44.7%
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes Facility 2023 14 14 $5,586 $1,869 33.5%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 12 24 $3,384 $1,504 44.4%
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes Facility 2023 11 19 $1,482 $728.84 49.2%
99232 Follow-up hospital inpatient care per day, typically 25 minutes Facility 2022 172 519 $70,290 $28,565 40.6%
99233 Follow-up hospital inpatient care per day, typically 35 minutes Facility 2022 47 157 $30,820 $12,454 40.4%
99222 Initial hospital inpatient care per day, typically 50 minutes Facility 2022 96 98 $25,285 $10,251 40.5%
99223 Initial hospital inpatient care per day, typically 70 minutes Facility 2022 56 61 $22,359 $9,356 41.8%
90935 Hemodialysis procedure with physician evaluation Facility 2022 63 137 $32,012 $7,749 24.2%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2022 17 24 $3,174 $1,452 45.7%
99232 Subsequent hospital inpatient care, typically 25 minutes per day Facility 2021 200 497 $64,610 $28,021 43.4%
99233 Subsequent hospital inpatient care, typically 35 minutes per day Facility 2021 51 163 $30,970 $13,203 42.6%
99222 Initial hospital inpatient care, typically 50 minutes per day Facility 2021 107 110 $26,950 $11,640 43.2%
99223 Initial hospital inpatient care, typically 70 minutes per day Facility 2021 60 62 $22,010 $9,698 44.1%
90935 Hemodialysis procedure with one physician evaluation Facility 2021 72 137 $42,470 $7,887 18.6%
99214 Established patient outpatient visit, total time 30-39 minutes Office 2021 11 13 $2,340 $1,214 51.9%
99233 Subsequent hospital inpatient care, typically 35 minutes per day Facility 2020 116 285 $248,448 $23,628 9.5%
99232 Subsequent hospital inpatient care, typically 25 minutes per day Facility 2020 97 225 $34,100 $12,878 37.8%
99222 Initial hospital inpatient care, typically 50 minutes per day Facility 2020 66 66 $19,822 $7,257 36.6%
99239 Hospital discharge day management, more than 30 minutes Facility 2020 81 82 $74,292 $6,708 9.0%
99223 Initial hospital inpatient care, typically 70 minutes per day Facility 2020 37 37 $51,075 $5,977 11.7%
90935 Hemodialysis procedure with one physician evaluation Facility 2020 23 43 $13,330 $2,534 19.0%

About Dr. Sean Gaines, DO

Dr. Sean Gaines, DO is a Nephrology healthcare provider based in Solon, Ohio. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/15/2013. The National Provider Identifier (NPI) number assigned to this provider is 1609217934.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Sean Gaines, DO has received a total of $1,854 in payments from pharmaceutical and medical device companies, with $103.85 received in 2024. These payments were reported across 28 transactions from 11 companies. The most common payment nature is "Travel and Lodging" ($995.70).

As a Medicare-enrolled provider, Gaines has provided services to 1,755 Medicare beneficiaries, totaling 3,484 services with total Medicare billing of $253,268. Data is available for 4 years (2020–2023), covering 28 distinct procedure/service records.

Practice Information

  • Specialty Nephrology
  • Location Solon, OH
  • Active Since 07/15/2013
  • Last Updated 08/13/2025
  • Taxonomy Code 207RN0300X
  • Entity Type Individual
  • NPI Number 1609217934

Products in Payments

  • KRYSTEXXA (Biological) $161.71
  • JYNARQUE (Drug) $120.15
  • TARPEYO (Drug) $54.32
  • CARDIOMEMS (Device) $23.41
  • System One (Device) $23.13
  • LifeVest (Device) $20.28
  • KIDNEYINTELX BLOOD COLLECTION CONVENIENCE KIT (Device) $15.53
  • WAINUA (Drug) $15.01
  • AURYXIA (Drug) $9.59

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.