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    OpenPayerNPI Medicare & MedicaidScott Holliday
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    Scott Holliday — Billing Profile & Reimbursement Data

    NPI 1215077797 · Apo, AE · Physician Assistant

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    Scott Holliday is a physician assistant provider located in Apo, Armed Forces Europe. This profile covers 2 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. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationScott Holliday
    AddressPsc 2 Box 14516
    CityApo
    StateAE (Armed Forces Europe)
    ZIP09012
    TaxonomyPhysician Assistant
    NPI EnumeratedFebruary 7, 2007

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

    Payer SourceTotal Paid
    Medicare$15.4K
    Medicaid$0

    Key Findings

    SCOTT HOLLIDAY is a Physician Assistant based in APO, AE with an NPI enumerated (registered) on 2007-02-07 (~19 years ago), indicating long-standing enrollment in Medicare billing systems. This tenure supports comparisons to national peers with stable historical presence rather than newer entrants.

    This provider’s billed revenue is effectively single-payer: total Medicare revenue is $15.4K and there is no Medicaid billing on file. The absence of Medicaid activity means analyses of payer mix should treat this profile as Medicare-dominant with no in-state Medicaid footprint to evaluate.

    Revenue is highly concentrated: a precomputed metric shows the top 3 Medicare codes account for 100.0% of this provider’s total Medicare revenue, and the two listed codes—99284 and 99285—represent the entirety of reported Medicare income with 56.5% and 43.5% shares respectively. This concentration signals a narrow service mix driving all Medicare receipts rather than a diversified CPT portfolio.

    The specific code mix (99284 and 99285) identifies emergency department evaluation-and-management work as the operational focus, with 99284 corresponding to moderate medical decision making and 99285 to high medical decision making. This suggests the provider primarily delivers unscheduled, acute-care ED services at moderate-to-high acuity levels rather than elective office-based E/M or procedure-driven practice lines.

    Code-level volume for 99284 shows 112 claims, $78 avg paid/claim, and $8.7K revenue (56.5% of Medicare revenue); the provider ranks #12711 of 64306 nationally for this code (80th percentile). The supplied characterization of "typical, unremarkable volume for this code" implies the provider’s 99284 activity is within normal variation among peers and not an extreme outlier, though the 80th percentile rank indicates activity that is moderately above many peers for that specific ED E/M code.

    For 99285 the file shows 58 claims, $116 avg paid/claim, and $6.7K revenue (43.5% of Medicare revenue); the provider ranks #42085 of 61347 nationally for this code (31th percentile). The accompanying label "typical, unremarkable volume for this code" signals that, while this code supplies a large share of the provider’s income, the absolute volume is modest compared with national peers and places the provider toward the lower-middle of national activity for high-complexity ED visits.

    Taken together, the small aggregate Medicare revenue ($15.4K) and the rank/percentile information depict SCOTT HOLLIDAY as a modest participant in Medicare emergency department billing at national scale: 99284 activity is relatively elevated versus peers, 99285 activity is relatively modest, and there is no Medicaid activity to broaden the competitive footprint. Analysts should interpret this profile as a concentrated, ED-focused billing pattern with limited scale rather than a dominant regional or national presence.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.110$80$8.7K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.60$120$6.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9928581080$130$17.4K
    9928431090$90$6.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tri-state Memorial HospitalWACritical Access Hospital$0$14.5M
    Tri-state Memorial HospitalWACritical Access Hospital$0$3.7M
    Cory BrownWAFoot & Ankle Surgery Podiatrist$1.5M$0
    Vannvei LLCIDMulti-Specialty Clinic/Center$0$581.6K
    Shoaib AhmadOKPulmonary Disease Physician$276.1K$0
    Mark HarwoodWAClinical Cardiac Electrophysiology Physician$259.5K$0
    Thomas KleinWAClinical Cardiac Electrophysiology Physician$247.4K$0
    Gerhard MuelheimsWAClinical Cardiac Electrophysiology Physician$230.9K$0
    Michael KwasmanWAClinical Cardiac Electrophysiology Physician$213.3K$0
    Carl WalkerWAUrology Physician$209.2K$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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Armed Forces Europe Distribution
    Scott Holliday — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Europe