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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Richard Scallion (NPI 1215047543)

Field	Value
Entity Type	Individual
Organization	Richard Scallion
Address	257 Hospital Drive Suite 200
City	Bolivia
State	NC
ZIP	28422
Taxonomy	Surgery Physician
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicare	$63.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	210	$60	$12.7K
47563	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. She injects dye and…	20	$530	$10.1K
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…	80	$110	$8.8K
49650	The provider performs laparoscopic repair of an initial inguinal hernia.	20	$340	$8.1K
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…	70	$90	$6K
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…	30	$100	$3.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50	$60	$3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$130	$2.9K
76536	The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.	50	$60	$2.5K
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…	30	$80	$2.5K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Richard Scallion — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	11,611	18,060	110	$80	$15.1K
49650	18	60	20	$500	$10.5K
99232	3,440	5,690	70	$60	$8.1K
99213	2,868	16,320	70	$50	$7.1K
47563	3	20	20	$450	$6.8K
99223	2,979	4,580	30	$130	$6.5K
93880	652	700	40	$80	$5.1K
99204	1,245	8,430	30	$110	$4.8K
99222	1,149	3,340	20	$90	$3.3K
99203	2,379	5,450	30	$70	$3.1K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brunswick Community Hospital, LLC	NC	General Acute Care Hospital	$0	$15M
County Of Brunswick	NC	Land Ambulance	$2.4M	$3.8M
Scott Thomas	NC	Physical Therapist	$302.1K	$0
Patrick Ellis	NC	Cardiovascular Disease Physician	$272.2K	$0
Steven Robbins	NC	Urology Physician	$219.2K	$0
David Schmitz	NC	Family Medicine Physician	$213.2K	$0
Lydia Laboccetta	NC	Urology Physician	$199.1K	$0
Alison Heenan	NC	Physical Therapist	$92.9K	$0
Mark Hanna	NC	Emergency Medicine Physician	$91.3K	$560
Jared Carroll	NC	Physical Therapist	$89.9K	$0

Richard Scallion — Billing Profile & Reimbursement Data

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Richard Scallion — 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