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    OpenPayerNPI Medicare & MedicaidScott Walton
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    Scott Walton — Billing Profile & Reimbursement Data

    NPI 1104846237 · Brunswick, ME · Surgical Physician Assistant

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    Scott Walton is a surgical physician assistant provider located in Brunswick, Maine. This profile covers 10 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 Walton
    Address430 Bath Rd Ste 102
    CityBrunswick
    StateME
    ZIP04011
    TaxonomySurgical Physician Assistant
    NPI EnumeratedJuly 20, 2006

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

    Payer SourceTotal Paid
    Medicare$14K
    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.

    10 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…110$50$5.3K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…20$130$2.2K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$80$1.7K
    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,…50$30$1.7K
    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…10$70$850
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$40$560
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…10$40$550
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…10$30$410
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.20$20$340
    73565In this procedure, the provider takes X–ray images of a patient’s knees while the patient is in a standing position facing the X–ray machine to check for any fracture, swelling, or reason for pain in…10$20$320

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    27447456030$780$25.8K
    992135692,35050$50$4.3K
    2061016318040$40$2.9K
    9922224350020$100$2.8K
    9920355262030$60$2.4K
    9921210641030$30$1.5K
    99202446020$40$1.1K
    7350214015040$10$700
    7356571020$10$390
    73560659020$10$250

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pines Health ServicesMEInternal Medicine Physician$0$7.6M
    Pines Health ServicesMEObstetrics & Gynecology Physician$0$7.1M
    Pines Health ServicesMEFederally Qualified Health Center (FQHC)$0$3.7M
    Pines Health ServicesMEFamily Medicine Physician$0$3M
    Allan Espinosa MorazanAZMedical Oncology Physician$2.2M$0
    Pines Health ServicesMEFederally Qualified Health Center (FQHC)$0$480.1K
    Alexander MartinezMEPain Medicine (Physical Medicine & Rehabilitation) Physician$169.8K$0
    Allan KaplanMEFamily Medicine Physician$128.5K$0
    Jeremy WrightMENephrology Physician$118K$0
    Kurt KelleyMEOphthalmology Physician$116.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Volunteers Of America Northern New EnglandMEMental Illness Community Based Residential Treatment Facility$0$58.2M
    Independence Association, IncMEDevelopmentally Disabled Services Day Training Agency$0$57.9M
    MainehealthMEGeneral Acute Care Hospital$0$40M
    Pathways Of Maine, LLCMECommunity/Behavioral Health Agency$0$22.3M
    Bluewater Emergency Partners Of Brunswick, LLCMEEmergency Medicine Physician$0$3.8M
    Pathways Of Maine, Inc.MEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$3.7M
    Lawrence BossongMEOral and Maxillofacial Surgery (Dentist)$0$3.7M
    MainehealthMEMulti-Specialty Clinic/Center$0$2.8M
    Pathways Of Maine, Inc.MECommunity/Behavioral Health Agency$0$2.7M
    Guardian Pharmacy Of Maine, LLCMELong Term Care Pharmacy$162.2K$2.4M

    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. Maine Distribution
    Scott Walton — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine