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    OpenPayerNPI Medicare & MedicaidScott-wilson, Inc.
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    Scott-wilson, Inc. — Billing Profile & Reimbursement Data

    NPI 1255336517 · Lexington, KY · Home Infusion Therapy Pharmacy

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    Scott-wilson, Inc. is a home infusion therapy pharmacy provider located in Lexington, Kentucky. This profile covers 0 Medicare and 50 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 TypeOrganization
    OrganizationScott-wilson, Inc.
    Address2380 Fortune Drive
    CityLexington
    StateKY
    ZIP40509
    TaxonomyHome Infusion Therapy Pharmacy
    NPI EnumeratedJune 14, 2005

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

    Payer SourceTotal Paid
    Medicaid$24.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    50 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S9342Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…114,390$30$3.8M
    S9500Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…46,340$70$3.1M
    B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…6,410$350$2.3M
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape7,820$210$1.7M
    S9374Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing…14,950$70$1.1M
    J0878Injection, daptomycin, 1 mg6,460$170$1.1M
    S9501Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…16,000$70$1M
    99601The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.10,570$80$835.2K
    B4153Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…2,820$300$834.4K
    S9502Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and…10,710$80$803.5K

    Showing 1–10 of 50

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Kentucky median

    50 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9342Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…1103,070$50$2.1M
    S9500Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…1105,490$100$1.6M
    S9501Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…11011,840$90$1.1M
    B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…210500$320$1.1M
    S9502Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and…1109,260$110$1M
    B4185Parenteral nutrition solution, not otherwise specified, 10 grams lipids2105,840$150$879.3K
    J0878Injection, daptomycin, 1 mg210100$300$854.3K
    J1557Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg110170$4,740$781.5K
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape5202,220$120$530.7K
    S9366Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all…2101,550$330$504.6K

    Showing 1–10 of 50

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Homechoice Partners LLCVAHome Infusion Therapy Pharmacy$0$23.5M
    New England Home Therapies, Inc.MAOxygen Equipment & Supplies (DME)$0$23.3M
    Infusion Partners LLCTNHome Infusion Therapy Pharmacy$0$19.8M
    Infusion Partners LLCLAHome Infusion Therapy Pharmacy$0$13.7M
    Bioscrip Infusion Services, LLCFLHome Infusion Therapy Pharmacy$0$12.5M
    Knoxville Home Therapies LLCTNHome Infusion Therapy Pharmacy$0$11.7M
    East Goshen Pharmacy, LLCPAHome Infusion Therapy Pharmacy$0$10.1M
    Infuscience, LLCVAHome Infusion Therapy Pharmacy$0$9.7M
    Bioscrip Infusion Services, LLCWVHome Infusion Therapy Pharmacy$0$8.8M
    New England Home Therapies, Inc.MAParenteral & Enteral Nutrition Supplies (DME)$0$8.3M

    Nearby Providers

    Other providers in the same ZIP code as Scott-wilson, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Joseph Health System, IncKYGeneral Acute Care Hospital$0$67.4M
    Labtox, LLCKYClinical Medical Laboratory$43.5K$21.8M
    Phi Health, LLCKYAir Ambulance$2M$13.2M
    Retina And Vitreous Associates Of Kentucky PLLCKYRetina Specialist (Ophthalmology) Physician$0$13.3M
    Key Assets Kentucky, Inc.KYCommunity/Behavioral Health Agency$0$10.8M
    Grace Place Adult Day Center LLCKYAdult Day Care Clinic/Center$0$9.7M
    Uhs Of Ridge LLCKYPsychiatric Hospital$0$9.1M
    United Seating And Mobility LLCKYDurable Medical Equipment & Medical Supplies$0$8.6M
    Ridge Outpatient Counseling, LLCKYPsychiatric Hospital Unit$0$5.2M
    Baptist Health Surgery Center LLCKYAmbulatory Surgical Clinic/Center$1.8M$2.9M

    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.

    Medicaid Revenue by Year vs. Kentucky Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Scott-wilson, Inc. — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky