Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidM Scott Hickman
    Ask Trek AI about this page

    M Scott Hickman — Billing Profile & Reimbursement Data

    NPI 1114953965 · Lawrence, KS · Ophthalmology Physician

    Customize your policy alerts

    Sign up for M Scott Hickman — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    M Scott Hickman is a ophthalmology physician provider located in Lawrence, Kansas. This profile covers 17 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationM Scott Hickman
    Address4955 Research Park Way
    CityLawrence
    StateKS
    ZIP66047
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 23, 2006

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

    Payer SourceTotal Paid
    Medicare$405.9K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…370$300$111.2K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.290$220$65.2K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…690$80$55K
    64708In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on a major peripheral nerve in an arm or leg, and at a location other than…170$300$49.6K
    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…260$100$25.5K
    64727The provider excises scar tissue from within and between the nerve fibers in the protective nerve sheath using an operating microscope and microsurgical techniques. This procedure may be done during…170$130$21.9K
    V2632Posterior chamber intraocular lens170$110$17.5K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…260$60$15.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.110$100$10.3K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…340$30$9.9K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669843730040$430$67.4K
    64708110170$300$49.6K
    668211111060$210$24.8K
    64727110170$130$21.8K
    9201433530180$70$18.5K
    V2632110170$110$17.6K
    992143,5824,310120$70$16.4K
    920124324070$60$8.6K
    921362170180$30$7.6K
    921345741050$30$6K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kansas City Surgery Center, LLCKSAmbulatory Surgical Clinic/Center$1.2M$0
    Christopher KetchersideKSOphthalmology Physician$315.6K$0
    Johann OhlyKSOphthalmology Physician$290.4K$0
    Kristin BiggerstaffKSOphthalmology Physician$239.8K$0
    Aaron FlorkowskiKSOphthalmology Physician$186.2K$0
    Fred BodkerKSOphthalmic Plastic and Reconstructive Surgery Physician$152.5K$0
    Callie LanserKSCertified Registered Nurse Anesthetist$62.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cottonwood IncorporatedKSCustomized Equipment (DME)$0$46.5M
    Trinity In-home CareKSHome Health Agency$0$4M
    Dccca, IncKSSubstance Use Disorder Rehabilitation Clinic/Center$0$1.8M
    Hospice Preferred Choice, IncKSCommunity Based Hospice Care Agency$0$569.8K
    Kelcie StreckerKSPhysician Assistant$205.7K$0
    Hy-vee IncKSCommunity/Retail Pharmacy$180.6K$0
    Chad JohanningKSFamily Medicine Physician$127.9K$0
    Blake PhippsKSFamily Medicine Physician$83.2K$0
    Amanda FloydKSFamily Nurse Practitioner$77.1K$0
    Nathan BloomKSFamily Medicine Physician$74.1K$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. Kansas Distribution
    M Scott Hickman — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas