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

    NPI 1326004987 · Hilo, HI · Diagnostic Radiology Physician

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    Scott Grosskreutz is a diagnostic radiology physician provider located in Hilo, Hawaii. This profile covers 30 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 Grosskreutz
    Address82 Puuhonu Pl
    CityHilo
    StateHI
    ZIP96720
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedApril 24, 2006

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

    Payer SourceTotal Paid
    Medicare$333.8K
    Medicaid$0

    Key Findings

    The provider’s Medicare billing is heavily weighted toward breast imaging and image‑guided breast procedures. Screening mammography 77067 accounts for 46.9% of Medicare revenue and tomosynthesis 77063 contributes 18.4%, while breast ultrasound 76641 adds 7.2%; the presence of interventional biopsy codes such as 19083 (38 claims, $451 avg paid/claim, $17.1K revenue) and 19081 ($446 avg paid/claim, $6.7K revenue) confirms an operational focus on diagnostic and interventional breast care rather than primarily on general diagnostic radiology. This mix suggests a specialized breast‑imaging practice model with both high-volume screening and a capability to perform same‑site biopsies.

    Revenue concentration is pronounced: the precomputed top‑3 Medicare codes (77067, 77063, 76641) together account for 72.4% of this provider’s total Medicare revenue. That level of concentration indicates financial dependence on mammography and related breast ultrasound services, so changes in reimbursement or referral patterns for these specific codes would materially affect the provider’s Medicare revenue stream.

    The payer mix is effectively single‑payer in practice: Total Medicare revenue is reported as $333.8K and there is no Medicaid billing on file. The absence of Medicaid activity reduces exposure to dual‑payer complexity but increases sensitivity to Medicare policy and utilization shifts for screening and diagnostic breast imaging.

    Competitive standing on core codes is solid but not monopolistic: 77067 ranks #1126 of 15198 providers nationally (93th percentile) and 77063 ranks #1106 of 14277 providers nationally (92th percentile), which reflects typical, unremarkable yet relatively high national volume for screening and tomosynthesis. Notably, 77065 ranks #569 of 9312 providers nationally (94th percentile) and is described as "notably above typical national volume," indicating a stronger-than-average presence in diagnostic mammography for patients with known or suspected lumps compared with peers.

    The provider shows long tenure in the NPI registry—NPI enumerated 2006-04-24 (~20 years ago)—which may reflect a stable clinical presence in Hilo and continuity of radiology services. That longevity combined with the concentrated breast imaging mix suggests an established referral base for mammography and breast biopsy services.

    Although breast imaging dominates revenue, the provider bills a modest array of other radiology services that appear to be ancillary. CT abdomen/pelvis codes (74177, 74176) and chest X‑ray codes (71045, 71046) appear among the top 25 but each represents only small revenue shares (for example, 74177 is 1.4% of Medicare revenue, 71045 is 0.7%) and several CT/CTA codes sit at low national percentiles (74177 at the 33th percentile, 71275 at the 9th percentile), implying these studies are secondary to the practice’s breast imaging workload.

    There are meaningful per‑claim value differences across the mix that shape revenue beyond raw claim counts: biopsy codes 19083 and 19081 have high avg paid/claim ($451 and $446 respectively) and contribute nontrivial shares of revenue (19083 5.1%, 19081 2.0%), while many cross‑sectional imaging and CTA codes are low volume by national rank (e.g., 71275 9th percentile, 71260 15th percentile). Combined with the explicit label that 77065 is "notably above typical national volume," the statistical profile is one of concentrated high‑volume screening/tomosynthesis services supplemented by selective higher‑value interventional breast procedures and low ancillary CT throughput.

    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…1,160$140$156.7K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…1,120$60$61.4K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.250$100$24K
    77065The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential…180$100$18.8K
    19083Under ultrasound guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time.40$450$17.1K
    77066The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…90$120$10.1K
    G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)180$40$7.6K
    19081Under stereotactic guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time.20$450$6.7K
    77049The provider obtains images of both breasts by applying an external magnetic field and radiofrequency waves to create three–dimensional images, with and without contrast; he may also perform…20$300$6.7K
    76642In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.80$80$6.2K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067550230$80$29.9K
    77063450250$40$14.4K
    7664121040$90$9K
    74177529090$80$8.1K
    1908311020$260$5.4K
    74176468050$70$4.6K
    7704951020$190$4.4K
    71275576050$70$4.1K
    7706684040$60$3.5K
    1908121010$250$3.5K

    Showing 1–10 of 30

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Radiology Imaging Associates, PCCODiagnostic Radiology Physician$0$18.8M
    Kahuku Medical CenterHICritical Access Hospital$0$6.5M
    Honolulu Imaging Center, LLCHIDiagnostic Radiology Physician$2.6M$1.1M
    Hawaii Radiologic Associates, Ltd.HIDiagnostic Radiology Physician$0$3.5M
    John WadeHIDiagnostic Radiology Physician$795K$0
    Nebiyu BeteselassieMODiagnostic Radiology Physician$627.2K$0
    Eric HoyerWYDiagnostic Radiology Physician$534.9K$0
    Kevin LampertCODiagnostic Radiology Physician$451.6K$0
    David CamachoHIDiagnostic Radiology Physician$414K$0
    Richard SibleyINDiagnostic Radiology Physician$406.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hilo Benioff Medical CenterHIGeneral Acute Care Hospital$0$51.2M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$19.3M
    Metropacific Group, CorpHIDevelopmentally Disabled Services Day Training Agency$0$13.3M
    Triple Ace Venture Capital, Corp.HIIn Home Supportive Care Agency$0$10.5M
    Whchc - Hawaii Island Community Health CenterHIFederally Qualified Health Center (FQHC)$0$8.1M
    West Hawaii Community Health Center, Inc.HIFederally Qualified Health Center (FQHC)$0$7.1M
    Hilo Urgent Care Center, LLCHIUrgent Care Clinic/Center$0$6.5M
    Alpha Care Hawaii LLCHIIn Home Supportive Care Agency$0$5.9M
    Mastercare IncHIIn Home Supportive Care Agency$0$5.4M
    Americare Hawaii IncorporatedHIIn Home Supportive Care Agency$0$3.7M

    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. Hawaii Distribution
    Scott Grosskreutz — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii