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    v1.0.28
    OpenPayerNPI Medicare & MedicaidScott Caesar
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    Scott Caesar — Billing Profile & Reimbursement Data

    NPI 1083849566 · Fort Myers, FL · Urology Physician

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    Scott Caesar is a urology physician provider located in Fort Myers, Florida. This profile covers 34 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationScott Caesar
    Address8931 Colonial Center Dr
    CityFort Myers
    StateFL
    ZIP33905
    TaxonomyUrology Physician
    NPI EnumeratedMay 27, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$437.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,510$70$98.4K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…930$90$85.5K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…270$180$49.5K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg320$140$43K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…340$40$13.9K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.30$470$13.1K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…100$120$12K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…180$70$11.5K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…130$80$10.4K
    52224The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…20$580$9.9K

    Showing 1–10 of 34

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    34 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64590618020$6,330$151.8K
    992142,14532,760140$90$25K
    52224396030$600$22K
    J921722360120$130$18.7K
    992325,16113,090120$60$17.5K
    520004067080$160$17.4K
    505902111020$640$15.3K
    52648244020$790$15.1K
    5172912114030$290$13.2K
    9921333630,01080$60$12K

    Showing 1–10 of 34

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Constantine MantzFLTherapeutic Radiology Physician$3.8M$0
    Sonal SuraFLTherapeutic Radiology Physician$3.5M$3.5K
    Timothy KerwinFLRadiation Oncology Physician$3.4M$0
    Daniel DosoretzFLRadiation Oncology Physician$2.8M$0
    Patrick FranckeSCRadiation Oncology Physician$2.8M$0
    John SylvesterFLRadiation Oncology Physician$2.5M$0
    Michael HanusFLRadiation Oncology Physician$2.4M$0
    Hejal PatelALRadiation Oncology Physician$2.2M$0
    Alan BrownFLRadiation Oncology Physician$2.2M$0
    Daniel MarkNYRadiation Oncology Physician$2.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Silvia RomeroFLMedical Oncology Physician$2M$0
    Gustavo WestinFLMedical Oncology Physician$2M$0
    Michael MccleodFLMedical Oncology Physician$1.7M$0
    David HarrisFLUrology Physician$582.9K$0
    Manuel Mendez SuarezFLFamily Nurse Practitioner$239.1K$0
    Spencer MichalkeFLPlastic and Reconstructive Surgery Physician$203.8K$0
    Katie RyderFLCardiovascular Disease Physician$189.2K$0
    Kelli OrcuttFLGeneral Practice Dentistry$164.8K$0
    Maximilian PadillaFLOphthalmology Physician$124K$0
    Fadi Abu ShahinFLGynecologic Oncology Physician$122.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Scott Caesar — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida