Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Nevada (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Scott Martin (NPI 1386622462)

Field	Value
Entity Type	Individual
Organization	Scott Martin
Address	2705 W Horizon Ridge Pkwy
City	Henderson
State	NV
ZIP	89052
Taxonomy	Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI Enumerated	January 9, 2006

Payer Source	Total Paid
Medicare	$231.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99205	The 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…	1,120	$170	$185K
97542	In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.	1,560	$20	$34.4K
G0372	Physician service required to establish and document the need for a power mobility device	1,090	$10	$7.6K
99215	The 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…	30	$140	$4.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nevada Distribution

Scott Martin — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	470	790	40	$120	$12.2K
97542	1	10	230	$20	$11.9K
99205	1	450	30	$150	$6.9K
G0372	1	10	150	$10	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adam Luckette	NV	Physician Assistant	$143.1K	$29.1K
Michelle Edwards	NV	Certified Registered Nurse Anesthetist	$117.7K	$10.8K
Michelle Debellis	NV	Certified Registered Nurse Anesthetist	$64.2K	$0
Laura Santos Pavia	NV	Anesthesiology Physician	$51.2K	$0
Jay Rosenberg	CA	Neurology Physician	$42.1K	$0
Corey Anderson	NV	Certified Registered Nurse Anesthetist	$31.4K	$0
Anastacia Munro	NV	Anesthesiology Physician	$20.4K	$6.2K
Lara Leventhal	TX	Occupational Therapist	$26.4K	$0
Rosendo Mortero	NV	Anesthesiology Physician	$19.5K	$0
Mario Tarquino	NV	Anesthesiology Physician	$19.4K	$0

Scott Martin — Billing Profile & Reimbursement Data

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Scott Martin — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References