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

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

Scott Ruggles (NPI 1174636062)

Field	Value
Entity Type	Individual
Organization	Scott Ruggles
Address	835 S Van Buren St
City	Green Bay
State	WI
ZIP	54301
Taxonomy	Colon & Rectal Surgery Physician
NPI Enumerated	August 16, 2006

Payer Source	Total Paid
Medicare	$12.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	$120	$3.5K
46600	The provider performs an anoscopy, or an examination of the anus using a small, rigid, tubular instrument called an anoscope. He collects samples for analysis by brushing or washing the anal canal.…	30	$90	$2.5K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	60	$40	$2.2K
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…	20	$70	$1.4K
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…	20	$60	$1.1K
99222	The 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…	10	$90	$1.1K
74270	The provider takes X–rays of the colon after instilling a contrast agent such as barium through the rectum into the colon. The service also includes a scout film of the abdomen taken before the…	10	$40	$390
76125	The provider takes motion X–ray recordings to acquire a series of individual images that when they play them back at a rapid rate look like a motion picture. This service images a cycle of movement…	10	$10	$110

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Scott Ruggles — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	8,240	9,380	60	$50	$4.7K
99204	1,508	3,390	30	$100	$3.7K
99222	1,951	2,200	20	$90	$3.1K
99203	1,776	2,820	30	$60	$2.4K
99231	250	1,090	40	$40	$1.8K
46600	4	20	20	$70	$1.6K
74270	1	10	10	$30	$380
76125	1	10	10	$10	$110

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alexander Harvin	IA	Diagnostic Radiology Physician	$353.1K	$0
Akash Patel	IL	Emergency Medicine Physician	$158.3K	$108.4K
Tariq Alam	MO	Neurology Physician	$223.8K	$3.2K
Andrew Ciccarelli	MA	Diagnostic Radiology Physician	$220.1K	$0
Todd Gould	WI	Ophthalmology Physician	$216.5K	$0
John Lawton	WI	Nephrology Physician	$203.3K	$0
Simil Gala	WI	Interventional Cardiology Physician	$172.3K	$0
Robert Haller	WI	Diagnostic Radiology Physician	$169.1K	$0
Bryan Suchecki	MA	Diagnostic Radiology Physician	$165.8K	$0
Atif Qureshi	WI	Nephrology Physician	$164K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bellin Memorial Hospital Inc.	WI	General Acute Care Hospital	$0	$29.2M
Bellin Memorial Hospital Inc	WI	Family Medicine Physician	$0	$19.8M
St Vincent Hospital-hospital Sisters-third Order Of St Francis	WI	General Acute Care Hospital	$0	$19.6M
County Of Brown	WI	Community/Behavioral Health Agency	$0	$12.8M
Hha Of Wisconsin, LLC	WI	Home Health Agency	$0	$5.6M
City Of Green Bay Office Of Comptroller	WI	Land Ambulance	$613K	$3.7M
Bellin Psychiatric Center Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.1M
Cerebral Palsy, Inc.	WI	Rehabilitation Clinic/Center	$0	$4M
Innovative Wisconsin, LLC	WI	Community/Behavioral Health Agency	$0	$3.8M
Almost Family Personal Care, LLC	WI	Nursing Care Agency	$0	$3.1M

Scott Ruggles — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References