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

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

Anthony Scola (NPI 1144222043)

Field	Value
Entity Type	Individual
Organization	Anthony Scola
Address	1701 Augustine Cut Off
City	Wilmington
State	DE
ZIP	19803
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	August 11, 2005

Payer Source	Total Paid
Medicare	$975.4K
Medicaid	$0

Key Findings

This provider’s billing mix is consistent with a Diagnostic Radiology operation that combines high-volume breast imaging, cross-sectional CT/MRI work, and PET services. Medicare-top codes include 77067 (screening mammography) at $183.6K (22.3%), 78815 (PET/CT) at $93.8K (11.4%), and A9595 (piflufolastat f-18) at $69.5K (8.5%), indicating active screening and advanced oncologic imaging in the service mix rather than a narrow procedural focus.

Revenue concentration is substantial: the top 3 Medicare codes by revenue (77067, 78815, A9595) account for 42.2% of this provider's total Medicare revenue, while total reported Medicare revenue equals $975.4K. This degree of concentration suggests that a few high-yield services—particularly screening mammography and PET-related studies—drive a large share of billed Medicare dollars for this entity.

Payer mix is effectively single-payer: Medicare revenue is $975.4K and there is no Medicaid billing on file. The absence of Medicaid activity implies contracting, capacity, and revenue exposure are concentrated in Medicare, which may affect payer negotiations and patient-mix assumptions for analysts.

On competitive standing for mammography, the provider is a high-volume national actor: 77067 ranks #296 of 15198 providers nationally (98th percentile; notably above typical national volume) and 77063 ranks #268 of 14277 (98th percentile; notably above typical national volume). Those placements indicate the practice is a significant national-volume provider of screening and tomosynthesis mammography relative to peers.

The provider is an outlier for lung and chest CT screening: 71271 (LDCT lung cancer screening) generated $41.1K (5.0%) and ranks #69 of 8424 (99th percentile; extreme outlier, far above typical national volume), while 71250 (CT thorax without contrast) also ranks in the 98th percentile. These signals point to an unusually high throughput for thoracic CT/LDCT services compared with national peers.

PET and radiopharmaceutical work contributes meaningfully to revenue but is not dominant by volume against national peers: 78815 produced $93.8K (11.4%) and ranks in the 60th percentile (typical, unremarkable volume), while A9595 produced $69.5K (8.5%) and ranks in the lower peer distribution described as typical/unremarkable. In practice this suggests specialized PET capabilities that add revenue but do not place the provider among the national leaders in PET volume.

Beyond the top codes, the provider bills broadly across cross-sectional imaging and image-guided procedures—examples include CT abdomen/pelvis codes 74177 ($57.1K, 7.0%), 74178 ($41.7K, 5.1%), and 74176 ($36.6K, 4.5%), as well as MRI and ultrasound-guided breast biopsy codes. This diversified portfolio implies a full-service imaging operation capable of handling screening, diagnostic, and interventional imaging workflow rather than a single-service clinic.

The provider has an established Medicare presence, with NPI enumerated on 2005-08-11 (~21 years ago). Long tenure combined with the high-percentile placements on several codes suggests an experienced imaging practice with sustained referral volume and operational scale in select diagnostic areas.

Medicare: Complete Services Breakdown

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

86 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	1,910	$100	$183.6K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	80	$1,200	$93.8K
A9595	Piflufolastat f-18, diagnostic, 1 millicurie	150	$480	$69.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	240	$240	$57.1K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	1,930	$30	$50.2K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	490	$100	$46.1K
74178	The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…	160	$270	$41.7K
71271	The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer.	300	$140	$41.1K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	270	$140	$36.6K
78816	The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…	20	$1,200	$26.5K

Showing 1–10 of 86

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 86 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Anthony Scola — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

86 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9595	1	10	150	$480	$69.5K
77067	5	40	530	$70	$55.8K
78815	11	20	100	$190	$29K
77063	5	30	560	$40	$28.7K
74177	22	60	180	$80	$19.8K
74183	9	20	90	$140	$15.5K
72197	8	20	70	$140	$14.9K
72148	18	60	80	$100	$13.9K
77080	20	30	150	$20	$13.7K
70553	22	40	90	$110	$13.5K

Showing 1–10 of 86

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allen Rothpearl	NY	Diagnostic Radiology Physician	$433.2K	$12.2M
Delaware Radiology Associates PA	DE	Diagnostic Radiology Physician	$0	$4.4M
Esther Coronel	NY	Diagnostic Radiology Physician	$3.3M	$162.2K
Karolyn Kerr	NY	Diagnostic Radiology Physician	$1.8M	$676.7K
Shaya Ansari	NY	Diagnostic Radiology Physician	$1.5M	$1K
Jason Chalifoux	NY	Student in an Organized Health Care Education/Training Program	$1.1M	$83.2K
Michael Singer	NY	Diagnostic Radiology Physician	$1.2M	$0
Pavni Patel	MD	Nuclear Medicine Physician	$1.1M	$0
Mark Decker	NY	Diagnostic Radiology Physician	$962K	$141.1K
Daniel Ginat	NY	Diagnostic Radiology Physician	$202.7K	$867.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Nemours Foundation	DE	Multi-Specialty Clinic/Center	$0	$172M
The Nemours Foundation	DE	Children's Hospital	$0	$104M
Jevs Human Services	DE	Adult Development & Aging Psychologist	$0	$84.4M
Christiana Care Home Health And Community Services, Inc.	DE	Home Health Agency	$0	$44.1M
Children's Dental Health Of Delaware - Wilmington, PA	DE	Pediatric Dentistry	$0	$8M
Medexpress, Inc - Delaware	DE	Family Medicine Physician	$0	$7.9M
Radnon Home Care LLC	DE	In Home Supportive Care Agency	$0	$6.5M
Delaware Cardiovascular Associates, P.A.	DE	Cardiovascular Disease Physician	$0	$5.4M
Concord Dental, LLC	DE	Dental Clinic/Center	$0	$4.2M
Christiana Care Health Services Inc	DE	Student Health Clinic/Center	$0	$3.9M

Anthony Scola — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References