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

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

Terry Scott (NPI 1124183868)

Field	Value
Entity Type	Individual
Organization	Terry Scott
Address	1111 Grand Ave
City	Diamond Bar
State	CA
ZIP	91765
Taxonomy	Otolaryngology Physician
NPI Enumerated	December 22, 2006

Payer Source	Total Paid
Medicare	$40.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	50	$170	$8.7K
99214	The 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…	80	$110	$8.1K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	1,670	$1	$6.7K
99213	The 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…	60	$80	$5K
99204	The 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…	30	$140	$4.7K
99203	The 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…	30	$90	$2.7K
30200	Therapeutic turbinate(s) injection (also known as an intraturbinal injection) is administered in the case of rhinorrhea, nasal obstruction, or sleep disturbance.	40	$50	$1.9K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	50	$40	$1.9K
92512	The provider uses this diagnostic test to evaluate the respiratory function of the nose by measuring the airflow during inhalation and exhalation as well as the air pressure in the nose.	20	$60	$1.3K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	20	$20	$350

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

Claims Volume vs. California Distribution

Terry Scott — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	23,217	37,970	120	$90	$23.2K
31231	318	540	70	$100	$20.1K
99213	19,716	34,660	80	$70	$13.2K
95004	170	320	1,820	$1	$12.3K
99204	10,331	19,360	40	$120	$7.2K
30200	4	10	40	$60	$5.9K
99203	6,643	12,740	30	$80	$4.6K
69210	525	1,370	30	$30	$4K
92512	3	10	20	$50	$3.9K
92567	364	430	100	$10	$1.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chao Rong Lee	CA	Occupational Therapist	$424K	$0
Jenchen Yang	CA	Cardiovascular Disease Physician	$323.5K	$0
Todd Schafer	CA	Podiatrist	$129.6K	$0
Elizabeth Souza	CA	Physical Therapist	$39.8K	$0

Terry Scott — Billing Profile & Reimbursement Data

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Terry Scott — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References