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

    NPI 1265486179 · Tucson, AZ · Neurology Physician

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    Scott Sherman is a neurology physician provider located in Tucson, Arizona. This profile covers 9 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 Sherman
    Address2800 E Ajo Way
    CityTucson
    StateAZ
    ZIP85713
    TaxonomyNeurology Physician
    NPI EnumeratedMay 22, 2006

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

    Payer SourceTotal Paid
    Medicare$38.4K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…200$70$15.1K
    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…60$100$6.3K
    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…120$50$6K
    64616The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical…50$70$3.3K
    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…20$100$2.2K
    64611The provider administers a chemical compound to the parotid and submandibular salivary glands bilaterally to decrease the amount of saliva produced and reduce the risk of aspiration.30$80$2.1K
    99205The provider sees a new 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 provider…10$130$1.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…50$20$1.1K
    95983The provider, a physician or other qualified healthcare professional, analyzes the function of a brain neurostimulator system and makes programming adjustments requiring up to 15 minutes of…20$40$890

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,61210,410120$80$20.6K
    992151,2993,27050$120$11.9K
    992133,5699,60080$60$9.6K
    64616113050$130$7.2K
    992044,1765,79040$110$6.7K
    992051,5911,73030$150$6.6K
    95983212050$40$2.8K
    6461121030$80$2.7K
    992127762,31030$40$2.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rishi GosaliaAZDiagnostic Radiology Physician$204.2K$0
    Gamal SidarousAZNuclear Medicine Physician$135.1K$0
    David WeidmanAZNeurology Physician$83.2K$0
    Anna BurkeAZGeriatric Psychiatry Physician$82.1K$0
    Sara DhananiAZNeurology Physician$78.6K$0
    Gerrie JakobsAZClinical Social Worker$14.2K$0
    Victoria CannonAZClinical Social Worker$8.6K$0
    Barbara JohnsonAZClinical Social Worker$8.4K$0
    Michelle FaddoulAZClinical Social Worker$8K$0
    Heba Al-sahlaniAZPhysician Assistant$7.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    La Frontera Center, Inc.AZMental Health Clinic/Center (Including Community Mental Health Center)$0$136.5M
    Banner - University Medical Center South Campus LLCAZGeneral Acute Care Hospital$0$82.4M
    El Rio Santa Cruz Neighborhood Health Center, IncAZFederally Qualified Health Center (FQHC)$0$11.9M
    Marana Health Center, IncAZFederally Qualified Health Center (FQHC)$0$11.4M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$86.1K$10.7M
    Javier R Rios Md A Medical Professional CorporationAZFamily Medicine Physician$0$6.6M
    Edward OhAZDiagnostic Radiology Physician$440.8K$0
    Satinder SinghAZCardiovascular Disease Physician$180.5K$0
    Corbin BallamAZInternal Medicine Physician$175.5K$0
    Richard RhoadsAZPsychiatry Physician$2.5K$125.6K

    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. Arizona Distribution
    Scott Sherman — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona