Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Montana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Montana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Montana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Simone Musco (NPI 1013181833)

Field	Value
Entity Type	Individual
Organization	Simone Musco
Address	500 W Broadway St
City	Missoula
State	MT
ZIP	59802
Taxonomy	Clinical Cardiac Electrophysiology Physician
NPI Enumerated	April 14, 2008

Payer Source	Total Paid
Medicare	$318.1K
Medicaid	$0

Key Findings

SIMONE MUSCO is effectively a single-payer Medicare billing profile with Total Medicare revenue of $318.1K and no Medicaid billing on file; this means all available claims and procedure mix should be interpreted through a Medicare-only operational lens rather than a dual-payer practice footprint. The absence of Medicaid activity suggests the provider either does not serve Medicaid populations or bills them under different clinicians or taxonomies.

Revenue concentration is moderate: the precomputed top 3 Medicare codes by revenue account for 29.5% of this provider's total Medicare revenue. The largest individual contributors within the detailed code list are 93280 ($30.1K, 10.3%), 93656 ($29.9K, 10.2%), and 93284 ($26.5K, 9.0%), indicating that a relatively small set of electrophysiology and device-management services drive a meaningful share of income.

The code mix shows a clear clinical cardiac electrophysiology and device management focus: high-volume device interrogation/adjustment codes (93280, 93284, 93281, 93283, 93296/93295) and complex EP procedures (93656, 93653, 93657) dominate the top-line list. This pattern is consistent with a practice operating both procedural EP services (including pulmonary vein isolation and ablation) and ongoing management of implanted pacemaker/ICD systems, suggesting integrated procedural and device follow-up workflows.

Competitive standing by code is highly variable: several device-interrogation and adjustment codes are national outliers, with 93281 ranking #1 of 1394 providers and 93284 ranking #3 of 3189 providers (both labeled as extreme outliers), and 93280, 93283, and 93248 also noted as extreme outliers at very high percentiles. These rankings indicate this provider performs device-management services at substantially higher volumes than typical peers nationally and occupies a dominant niche for those services. Other high-revenue EP procedure codes are more typical in volume: 93656 ranks in the 70th percentile and 93657 and 93650 fall into typical ranges, signaling that while device work is exceptional, ablation/EP procedure volumes are within expected peer ranges.

Service-line implications: the combination of high counts of interrogation/remote-monitoring technical codes (93296, 93295, G2066) and numerous face-to-face device reprogramming codes implies a workflow that mixes clinic-based device checks with remote monitoring operations. Presence of generator replacement and implantation codes (33249, 33225, 33208) alongside high-volume reprogramming suggests the practice manages the full device lifecycle—from implantation and revision to routine follow-up and remote surveillance. This supports a vertically integrated EP service line capable of driving recurring follow-up revenue streams tied to implanted cardiac devices.

Tenure and experience: the provider’s NPI was enumerated on 2008-04-14 (~18 years ago), indicating long-standing Medicare enrollment. That longevity combined with exceptionally high national ranks on multiple device codes implies an established clinical role in the local market for cardiac device management and electrophysiology.

Operational risk/opportunity note: because a substantial portion of Medicare activity is concentrated in device interrogation and reprogramming codes that are described as extreme outliers in national ranking, payers and network analysts should consider whether referral patterns, clinic specialization, or local market supply constraints explain the high volumes. These patterns can represent legitimate specialist concentration but have implications for utilization oversight, network adequacy assessments, and contracting for device-management services.

Clinical mix nuance: evaluation-and-management codes (99205, 99214, 99215) appear in the top codes but account for smaller shares of revenue relative to device and EP procedure codes, indicating that this practice’s revenue is driven more by procedure- and device-related services than by general office E/M throughput. Analysts evaluating resource allocation or downstream utilization from office visits should prioritize device and EP procedural capacity metrics over general outpatient volume.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93280	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system. He changes various operating…	630	$50	$30.1K
93656	A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…	40	$730	$29.9K
93284	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of various operating functions of an already implanted multiple lead defibrillator…	390	$70	$26.5K
93653	A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider induces, or attempts to induce, arrhythmia. The…	30	$640	$19.8K
33208	The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.	50	$400	$19.6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	120	$150	$17.6K
93281	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted multiple lead pacemaker system. He changes various…	320	$60	$17.3K
93283	The provider evaluates and adjusts the parameters, or settings, of various operating functions of a previously implanted dual lead transvenous implantable cardioverter defibrillator system, a device…	250	$60	$15.5K
33249	The provider either replaces or implants a new permanent defibrillator system with single or dual chamber transvenous leads or electrodes. Defibrillators sense and regulate the heart rate by…	20	$700	$14.7K
33225	In this add–on procedure, the provider introduces an additional pacing electrode for left ventricular pacing through a vein and advances it to the left ventricle at the same time as he inserts an…	40	$360	$13.4K

Showing 1–10 of 40

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Simone Musco — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

40 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93656	5	10	40	$740	$30.3K
93653	2	10	20	$630	$13.9K
33249	2	10	20	$690	$13.9K
G2066	7	10	230	$40	$13.7K
99214	994	1,810	100	$70	$12.4K
33208	4	20	20	$380	$12.2K
33225	2	10	20	$360	$10.6K
99215	452	780	40	$100	$7.9K
93650	2	10	10	$430	$7.8K
99223	269	410	30	$130	$7K

Showing 1–10 of 40

Related Providers

Other providers that share a Tax Identification Number (TIN) with Simone Musco, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services Mt	MT	Emergency Medicine Physician	$0	$8.2M
Providence Health & Services Mt	MT	Family Medicine Physician	$0	$5.7M
Providence Health & Services Mt	MT	Family Medicine Physician	$0	$4.9M
Scott Guess	MT	Ophthalmology Physician	$2.7M	$72.4K
Providence Health & Services Mt	MT	General Acute Care Hospital	$0	$2.4M
Melody Nelsen	MT	Rheumatology Physician	$2M	$0
Providence Health & Services Mt	MT	Psychiatric/Mental Health Nurse Practitioner	$0	$1.8M
Rebecca Belsom	MT	Rheumatology Physician	$1.4M	$0
Providence St Joseph Medical Center	MT	Family Medicine Physician	$0	$1.1M
Providence St Joseph Medical Center	MT	Critical Access Hospital	$0	$654.7K

Nearby Providers

Other providers in the same ZIP code as Simone Musco, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Consumer Direct District Of Columbia	MT	In Home Supportive Care Agency	$0	$393.2M
Youth Homes	MT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$9.7M
Western Montana Clinic PC	MT	Multi-Specialty Clinic/Center	$0	$8.7M
Providence Surgery Center	MT	Ambulatory Surgical Clinic/Center	$1.6M	$3.5M
Partnership For Children	MT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$4.7M
Gary Wingfield	MT	Assisted Living Facility	$0	$4.7M
Western Montana Clinic PC	MT	Clinical Medical Laboratory	$668.9K	$1.7M
Blue Mountain Clinic, Inc.	MT	Family Medicine Physician	$0	$1.4M
Youth Homes	MT	Community/Behavioral Health Agency	$0	$972.2K
Partnership For Children	MT	Community/Behavioral Health Agency	$0	$937.8K

Simone Musco — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References