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    v1.0.28
    OpenPayerNPI Medicare & MedicaidScott Mcgarvey
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    Scott Mcgarvey — Billing Profile & Reimbursement Data

    NPI 1205943255 · Edina, MN · Orthopaedic Surgery Physician

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    Scott Mcgarvey is a orthopaedic surgery physician provider located in Edina, Minnesota. This profile covers 14 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 Mcgarvey
    Address7373 France Ave S
    CityEdina
    StateMN
    ZIP55435
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedAugust 24, 2006

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

    Payer SourceTotal Paid
    Medicare$65.7K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The 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…120$130$14.8K
    28299The provider removes bone from a bunion, a foot deformity that causes a bump near where the big toe joins the foot. The procedure includes double osteotomy, cutting and realigning one or more toe…30$430$12.6K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.340$30$8.6K
    28750In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first…20$420$7.1K
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.40$170$6.1K
    99204The 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…40$100$3.6K
    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…40$80$3K
    28313In this procedure, the provider surgically corrects an angular deformity of the toe, like curly toes, by releasing the tight soft tissues and by transferring the muscle tendons.20$140$2.5K
    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…30$60$1.8K
    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…20$70$1.7K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2829921030$1,590$42.9K
    2875031020$1,750$27.9K
    2828561040$450$18.3K
    992147,19910,10070$80$8.1K
    992153734,06030$120$5.9K
    992136,1309,12050$50$4K
    992041,0263,34020$110$3.6K
    2831311020$140$2.5K
    992031,2312,69020$70$2.3K
    20605457020$40$1.1K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lahey Clinic Hospital, Inc.MAGeneral Acute Care Hospital$0$112.9M
    Infinite Health Collaborative, PAMNOrthopaedic Surgery Physician$0$19.4M
    Tria Orthopaedic Center LLCMNOrthopaedic Surgery Physician$0$7.3M
    Summit Orthopedics, LtdMNOrthopaedic Surgery Physician$0$6.7M
    Tria Orthopaedic Center LLCMNAmbulatory Surgical Clinic/Center$2.2M$2K
    Peter KentMNRheumatology Physician$1.6M$0
    Elizabeth MillerMNRheumatology Physician$1.3M$0
    Bethel AverbeckMNInternal Medicine Physician$1.2M$0
    Andrew CozaddMNPhysician Assistant$874.6K$0
    Matthew ManganaroNYDiagnostic Radiology Physician$688K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Minnesota Distribution
    Scott Mcgarvey — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota