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

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

Todd Scarbrough (NPI 1194700625)

Field	Value
Entity Type	Individual
Organization	Todd Scarbrough
Address	6450 Kingston Pike Ste 2
City	Knoxville
State	TN
ZIP	37919
Taxonomy	Therapeutic Radiology Physician
NPI Enumerated	December 7, 2005

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Key Findings

This provider’s billing profile is dominated by radiation therapy planning and dosimetry services: 77280 ($500.8K revenue, 2.6K claims), 77290 ($175.6K revenue, 554 claims) and 77331 ($158.1K revenue, 3.4K claims) together account for 66.1% of the provider’s Medicare revenue. The mix of high-volume simulation (77280, 77290) and dosimetry/physics planning (77331, 77334) indicates an operation focused on treatment planning and technical radiation oncology support rather than primarily on procedural delivery alone.

Revenue concentration is highly focused in a small set of codes. The precomputed top-3 share shows that 66.1% of Total Medicare revenue: $1.3M is driven by the three planning/dosimetry codes 77280, 77290 and 77331, signaling material reliance on these services for the provider’s Medicare revenue base.

This provider is effectively single-payer from an observed claims standpoint: Total Medicaid revenue: none (no Medicaid billing on file). The absence of Medicaid billing on file means analysts should treat this profile as Medicare-centric for payer contracting and network-participation considerations rather than a mixed Medicare/Medicaid operation.

Competitive standing by code shows national-level dominance in several planning and physics codes. 77280 ranks #16 of 3348 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), 77290 ranks #6 of 3650 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), and 77331 ranks #1 of 267 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), which together indicate unusually high national volume for these specialized services.

Other professional and support codes further contextualize the scope of services delivered. 77334 ($114.9K revenue) ranks #8 of 4463 providers nationally (100th percentile; extreme outlier), and office visits such as 99213 ($125.3K revenue) rank #1014 of 457151 providers nationally (100th percentile; extreme outlier), showing that the practice also bills substantial E&M and device/design services alongside its planning work.

A subset of historically billed codes appear in the dataset but with varying statistical significance and regulatory context. 77401 ($101.2K revenue, 3.5K claims) ranks #10 of 426 providers nationally (98th percentile; notably above typical national volume for this code) but is noted as Deleted effective Jan. 1, 2026, so future revenue mix and coding patterns may shift once deleted codes are no longer billable.

Several lower-revenue codes show more typical or unremarkable volumes, which suggests standard ancillary workflow around the high-volume planning services. For example, 77470 ($6.4K revenue) ranks #179 of 2347 providers nationally (92th percentile; typical, unremarkable volume for this code), 77370 ($6K revenue) ranks #25 of 293 providers nationally (91th percentile; typical, unremarkable volume for this code), and 99212 ($4K revenue) ranks #15073 of 99011 providers nationally (85th percentile; typical, unremarkable volume for this code).

The provider has long tenure in the NPI registry, which supports stability of the billing pattern: NPI enumerated (registered): 2005-12-07 (~21 years ago). Given sustained, concentrated Medicare revenue over an extended registration period, the profile is consistent with an established radiation oncology practice that specializes in high-volume planning and dosimetry services.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77280	The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.	2,600	$190	$500.8K
77290	Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…	550	$320	$175.6K
77331	In this service, the provider calculates the amount of radiation to be received by the human body using special radiation monitoring and measuring devices. This code requires the physician’s orders…	3,360	$50	$158.1K
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…	1,900	$70	$125.3K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	1,260	$90	$114.9K
77401	Deleted effective Jan. 1, 2026.	3,490	$30	$101.2K
77300	Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…	1,140	$50	$54.8K
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…	200	$70	$14.8K
77470	In this procedure, the provider performs special radiotherapy procedures requiring special consideration from the provider in the overall management of radiotherapy treatment.	60	$100	$6.4K
77370	In this service, the provider performs a special medical radiation physics consultation required under special circumstances like radiation to a pregnant patient. This code represents the technical…	60	$100	$6K

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

Claims Volume vs. Tennessee Distribution

Todd Scarbrough — 8 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77280	2	80	40	$160	$25.5K
77401	2	20	500	$30	$18.7K
77334	2	100	140	$50	$9.2K
77290	1	70	40	$130	$8.4K
99213	4	11,030	80	$50	$8K
77300	3	110	210	$30	$6.8K
77331	1	10	70	$40	$4.8K
77370	1	10	30	$100	$4.8K
99203	38	3,750	30	$70	$3.1K
77470	3	60	30	$80	$2.7K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Owensboro Health Medical Group, Inc	KY	Family Medicine Physician	$0	$10.6M
Owensboro Health Medical Group, Inc.	KY	Specialist	$0	$3.9M
Kishor Vora	KY	Cardiovascular Disease Physician	$2M	$334.5K
Roshan Mathew	KY	Interventional Cardiology Physician	$1M	$0
Sarah Estes	KY	Family Nurse Practitioner	$981.6K	$0
Aseedu Kalik	KY	Internal Medicine Physician	$143.8K	$554.3K
Richard Sweet	KY	Orthopaedic Surgery Physician	$540.9K	$0
Mahesh Moolani	KY	Internal Medicine Physician	$245.5K	$217.2K
Stephanie Block	MD	Neurology Physician	$312.1K	$0
Aaron Winterstern	AR	Hospitalist Physician	$264.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Continuumrx, Inc.	TN	Home Infusion Therapy Pharmacy	$0	$6.7M
Abco Medical Supply, Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$6.3M
Abercrombie Radiological Consultants Inc	TN	Diagnostic Radiology Physician	$0	$3.2M
Bright Eye Consultants PC	TN	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	$0	$2.5M
Statcare Inpatient LLC	TN	Internal Medicine Physician	$0	$2.5M
Bjr Enterprises, LLC	TN	In Home Supportive Care Agency	$0	$2.4M
Robert Griffith	TN	Dermatology Physician	$727.3K	$0
Christopher Pollock	TN	Vascular Surgery Physician	$662.5K	$0
Adam Wright	TN	Dermatology Physician	$564.7K	$0
Danielle Mote	TN	Family Nurse Practitioner	$484.5K	$13.8K

Todd Scarbrough — 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