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NPI 1285614354 · Osage Beach, MO · Sports Medicine (Orthopaedic Surgery) Physician
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Scott Hofer is a sports medicine (orthopaedic surgery) physician provider located in Osage Beach, Missouri. This profile covers 13 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Scott Hofer |
| Address | 1075 Nichols Rd |
| City | Osage Beach |
| State | MO |
| ZIP | 65065 |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| NPI Enumerated | January 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $45.4K |
| Medicaid | $570 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 40 | $330 | $13K |
| 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… | 130 | $60 | $7K |
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 860 | $10 | $6K |
| 20611 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe… | 80 | $70 | $5.8K |
| 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… | 60 | $70 | $3.8K |
| 26055 | Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may… | 20 | $140 | $2.7K |
| 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… | 30 | $70 | $1.6K |
| 99212 | The 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,… | 40 | $40 | $1.5K |
| 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… | 20 | $90 | $1.3K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 30 | $40 | $1.1K |
Showing 1–10 of 13
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
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J7325 | 44 | 50 | 1,630 | $10 | $15.6K |
| 99214 | 7,646 | 8,960 | 100 | $80 | $13.9K |
| 29848 | 4 | 20 | 20 | $400 | $12.1K |
| 26055 | 41 | 50 | 30 | $270 | $9.8K |
| 99213 | 2,573 | 8,730 | 70 | $50 | $7K |
| 20611 | 48 | 140 | 50 | $70 | $5.8K |
| 99204 | 3,505 | 4,360 | 30 | $100 | $4.8K |
| 20610 | 651 | 830 | 60 | $40 | $4.6K |
| 99203 | 838 | 2,950 | 30 | $70 | $3.2K |
| 20550 | 146 | 200 | 30 | $30 | $2.1K |
Showing 1–10 of 13
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 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… | 10 | $50 | $560 |
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 4,203 | 4,310 | 300 | $60 | $110.8K |
Other providers in the same ZIP code as Scott Hofer, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Camden Emergency Group LLC | MO | Emergency Medicine Physician | $0 | $3.5M |
| Lake Regional Imaging Partners, LLC | MO | Radiology Clinic/Center | $633.1K | $132.3K |
| Air Evac Ems, Inc. | MO | Air Ambulance | $545.8K | $0 |
| Rachandeep Singh | MO | Nephrology Physician | $224.4K | $0 |
| Baron Adkins | MO | Diagnostic Radiology Physician | $196.8K | $18.5K |
| Timothy Lischwe | MO | Corneal and Contact Management Optometrist | $201.9K | $1K |
| Amy Butler | MO | Family Nurse Practitioner | $187.3K | $0 |
| Walgreen Co | MO | Pharmacy | $187K | $0 |
| John Dymond | MO | Diagnostic Radiology Physician | $167.6K | $5.8K |
| Karen Eshraghi | MO | Dermatology Physician | $169.6K | $0 |
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