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

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

Nathan Scott (NPI 1174868095)

Field	Value
Entity Type	Individual
Organization	Nathan Scott
Address	154 Main St
City	Old Saybrook
State	CT
ZIP	06475
Taxonomy	Family Nurse Practitioner
NPI Enumerated	December 4, 2012

Payer Source	Total Paid
Medicare	$33.1K
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
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…	170	$70	$11.7K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	$120	$7.4K
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…	90	$50	$4.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	30	$100	$2.5K
90732	The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…	20	$130	$2.5K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	30	$70	$1.9K
G0008	Administration of influenza virus vaccine	30	$30	$990
G0009	Administration of pneumococcal vaccine	30	$30	$890
0124A	N/A	10	$40	$470
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	10	$10	$90

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. Connecticut Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,999	6,480	90	$90	$14.2K
G0439	669	1,510	60	$130	$10K
99213	2,673	6,440	70	$60	$8.1K
99215	1,104	1,840	30	$130	$6.7K
90662	690	1,120	30	$70	$3.5K
G0008	1,066	1,730	40	$30	$2.4K
90732	9	40	10	$130	$2K
36415	565	570	60	$10	$1.7K
0124A	221	240	20	$40	$1.6K
G0009	145	760	20	$30	$640

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mhs Primary Care, Inc	CT	Family Medicine Physician	$0	$5.4M
Mhs Primary Care Inc	CT	Urgent Care Clinic/Center	$0	$1.2M
Paul Fortgang	CT	Otolaryngology Physician	$94.5K	$98.3K
Richard Frink	CT	Urology Physician	$138.7K	$0
Ronald Hirokawa	CT	Otolaryngology Physician	$86K	$41.3K
Howard Boey	CT	Otolaryngology Physician	$90.3K	$32.9K
Meredith Lindner	CT	Internal Medicine Physician	$123K	$0
Edward Myer	CT	Urology Physician	$112.9K	$0
Nazmiye Hatiboglu	CT	Family Medicine Physician	$107.2K	$0
Elin Christensen	CT	Internal Medicine Physician	$97.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Edmonstone	CT	Pediatric Dentistry	$0	$1.1M
Old Saybrook Ambulance Assn Inc.	CT	Land Ambulance	$179.2K	$417.5K
Bart Muhs	CT	Vascular Surgery Physician	$572.7K	$0
Neil Becker	CT	Clinical Social Worker	$58.7K	$280.8K
Jennifer Gray	CT	Dermatology Physician	$153.5K	$0
Michelle Higginson	CT	Specialist	$147.5K	$0
John Carroll	CT	Foot Surgery Podiatrist	$106.6K	$0
Oleh Kusen	CT	Psychiatric/Mental Health Nurse Practitioner	$105.2K	$0
Callie Lamay	CT	Podiatrist	$92.4K	$0
Suzanne Tingley	CT	Family Medicine Physician	$88.7K	$0

Nathan Scott — Billing Profile & Reimbursement Data

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Nathan 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

Related Providers

Nearby Providers

Frequently Asked Questions

References