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 Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

Scott Wagner (NPI 1053340588)

Field	Value
Entity Type	Individual
Organization	Scott Wagner
Address	2109 India Rd
City	Charlottesville
State	VA
ZIP	22901
Taxonomy	Sports Physician Chiropractor
NPI Enumerated	June 30, 2006

Payer Source	Total Paid
Medicare	$99.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	3,070	$30	$95.1K
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	230	$20	$4.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Scott Wagner — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98941	4	560	380	$30	$15.7K
98940	101	260	190	$20	$5.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Chirichetti	VA	Pain Medicine Physician	$1.1M	$0
Michaela Romero	VA	Physician Assistant	$162.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Addiction Allies, LLC	VA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11.4M
Alternative Healing Home Care Services Company	VA	Home Health Agency	$0	$9.8M
The Charleston Center, Inc	VA	Rehabilitation Clinic/Center	$0	$7.1M
Angelcare LLC	VA	Non-emergency Medical Transport (VAN)	$0	$6.8M
Complete Home Care Services Company	VA	Home Health Agency	$0	$5.6M
University Pathology Associates, Plc	VA	Clinical Medical Laboratory	$2.8M	$715.7K
Monticello Community Surgery Center, LLC	VA	Ambulatory Surgical Clinic/Center	$2.8M	$328.5K
Costco Wholesale Corporation	VA	Community/Retail Pharmacy	$638.7K	$0
Archibald Lord	VA	Internal Medicine Physician	$388.9K	$0
Catherine Barry	VA	Anatomic Pathology Physician	$381.7K	$0

Scott Wagner — Billing Profile & Reimbursement Data

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Scott Wagner — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References