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    Scott Pargot — Billing Profile & Reimbursement Data

    NPI 1366543985 · Helena, MT · Otolaryngology Physician

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    Scott Pargot is a otolaryngology physician provider located in Helena, Montana. This profile covers 7 Medicare and 9 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)

    FieldValue
    Entity TypeIndividual
    OrganizationScott Pargot
    Address3116 Saddle Dr
    CityHelena
    StateMT
    ZIP59601
    TaxonomyOtolaryngology Physician
    NPI EnumeratedSeptember 26, 2006

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

    Payer SourceTotal Paid
    Medicaid$263.5K
    Medicare$57.3K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.140$140$18.9K
    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…110$110$11K
    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…120$90$10.3K
    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…110$60$7.1K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.70$100$6.5K
    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…20$140$2.6K
    99203The 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…10$70$840

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148461,810100$70$12.4K
    3123153050$120$8.6K
    9921559578040$100$7.9K
    992136951,73090$50$7.2K
    992045678030$100$4.8K
    31575114040$80$4.2K
    9920364270030$70$3.1K

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.640$200$126.5K
    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…510$150$76.3K
    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…170$130$21.9K
    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…50$260$13.6K
    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…160$80$12K
    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,…250$30$8.1K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.20$120$2.7K
    99203The 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…20$110$1.6K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.30$30$840

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Montana median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…358530580$70$224.6K
    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…376520730$40$196.4K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.210120$180$60.6K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.152030$400$56.1K
    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…25130100$120$49.4K
    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…407070$180$40.4K
    99203The 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…162190130$70$37.2K
    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,…108240170$1$10.3K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.4760190$10$6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Benefis Hospitals IncMTMulti-Specialty Clinic/Center$0$38.2M
    West MontMTAdult Care Home Facility$0$34.7M
    Union Associated Physicians Clinic, LLCINFamily Medicine Physician$0$31.1M
    Benefis Hospitals, Inc.MTAir Ambulance$0$5.2M
    Montana Surgery CenterMTAmbulatory Surgical Clinic/Center$0$4.6M
    Benefis Hospitals, Inc.MTGeneral Acute Care Hospital$0$3.5M
    Syed AkbarILDiagnostic Radiology Physician$280.8K$223.7K
    Michele DegregorioMICardiovascular Disease Physician$436.4K$0
    David ReismanNHHematology & Oncology Physician$366.8K$0
    James HaugCODiagnostic Radiology Physician$326.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Intermountain Deaconess HomeMTEmotionally Disturbed Childrens' Residential Treatment Facility$0$11.9M
    County Of Lewis & Clark Lewis & Clark County School District #1MTLocal Education Agency (LEA)$0$10.8M
    Pediatric Dentistry PCMTPediatric Dentistry$0$9.9M
    Montana Children's Home & HospitalMTGeneral Acute Care Hospital$0$8.7M
    Region Iv Family Outreach, IncMTCase Manager/Care Coordinator$0$7.3M
    Lewis And Clark Emergency Physicians P CMTEmergency Medicine Physician$0$6.6M
    Montana Independent Living ProjectMTIn Home Supportive Care Agency$0$6M
    St. Peter's HealthMTFamily Medicine Physician$0$5.2M
    Edgewood Helena Senior Living LLCMTAssisted Living Facility$0$4.7M
    Partners In Pediatrics P.C.MTPediatrics Physician$0$4.3M

    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. Montana Distribution
    Scott Pargot — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana
    Medicaid Revenue by Year vs. Montana Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Montana Distribution
    Scott Pargot — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana