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

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

Phyllis Scherr (NPI 1194705814)

Field	Value
Entity Type	Individual
Organization	Phyllis Scherr
Address	2000 Washington St
City	Newton
State	MA
ZIP	02462
Taxonomy	Gynecology Physician
NPI Enumerated	January 19, 2006

Payer Source	Total Paid
Medicare	$35.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	270	$100	$27.5K
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	$130	$3.2K
99443	N/A	30	$100	$2.9K
56605	In this procedure, the provider excises suspicious tissue from a single lesion in the vulva or perineum, in the external female genital area. She submits the specimen to a laboratory for analysis and…	10	$70	$890
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…	10	$60	$770

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Phyllis Scherr — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,293	15,410	110	$80	$15.6K
99204	3,540	5,870	30	$120	$5.6K
99203	3,805	4,290	30	$80	$4.1K
99443	907	1,960	30	$80	$3.8K
56605	1	10	10	$60	$670

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Newton-wellesley Hospital	MA	General Acute Care Hospital	$0	$36.3M
Richard Curtis	MA	Gastroenterology Physician	$431.7K	$0
Jill Smith	MA	Ophthalmology Physician	$337.6K	$0
David Jones	MA	Dermatology Physician	$307.1K	$0
Brian Saltzman	MA	Urology Physician	$303.6K	$0
Marc Leibole	MA	Ophthalmology Physician	$300.1K	$0
Ned Saltzman	MA	Urology Physician	$275.9K	$0
John Long	MA	Urology Physician	$247.3K	$0
Michael Ross	MA	Anatomic Pathology & Clinical Pathology Physician	$108.3K	$137.3K
Daniel Quinn	MA	Orthopaedic Surgery Physician	$232.9K	$0

Phyllis Scherr — Billing Profile & Reimbursement Data

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Phyllis Scherr — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References