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

    NPI 1144296161 · Batavia, OH · Infectious Disease Physician

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    Scott Sinner is a infectious disease physician provider located in Batavia, Ohio. This profile covers 11 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 Sinner
    Address3000 Hospital Dr
    CityBatavia
    StateOH
    ZIP45103
    TaxonomyInfectious Disease Physician
    NPI EnumeratedFebruary 28, 2006

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

    Payer SourceTotal Paid
    Medicare$42K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…390$30$10.6K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.220$40$9.3K
    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$5.4K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…30$120$3.9K
    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…50$60$2.7K
    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…30$70$2.2K
    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…30$60$1.8K
    29581The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A…100$20$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,…60$30$1.5K
    17250The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue.60$20$1.5K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11043578050$140$13.6K
    9921416,01420,010100$70$11.7K
    992326,1338,05070$60$8.7K
    110427754090$60$7.5K
    992137,18820,00070$50$6.6K
    992224,7795,48030$100$4.2K
    97597418040$50$3.6K
    2958153050$50$3K
    992031,9916,38030$60$2.9K
    992121,0484,10030$30$1.7K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Health Physicians Cincinnati Specialty Care LLCOHSurgery Physician$0$7.1M
    Tara AdhikariOHRheumatology Physician$1.6M$0
    Nelson WattsOHEndocrinology, Diabetes & Metabolism Physician$878.7K$0
    Emily FisherOHDermatology Physician$437K$0
    Rajinder SinghCAClinical Cardiac Electrophysiology Physician$380.2K$0
    Timothy SchoonoverOHNeurology Physician$356.8K$0
    Andrew HearnOHVascular Surgery Physician$332.9K$0
    Humam AkbikOHInterventional Pain Medicine Physician$264.4K$0
    Paul GouldOHDiagnostic Radiology Physician$256.3K$0
    Faiq AkhterOHCardiovascular Disease Physician$230K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clermont Recovery Center, Inc.OHPublic Health or Welfare Agency$0$29M
    Mercy Health - Clermont Hospital LLCOHGeneral Acute Care Hospital$0$25.9M
    Cathryn JenkinsOHAdult Health Nurse Practitioner$131.8K$0
    Brent KinderOHPulmonary Disease Physician$43.3K$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. Ohio Distribution
    Scott Sinner — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio