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    v1.0.28
    OpenPayerNPI Medicare & MedicaidScott Sulentich
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    Scott Sulentich — Billing Profile & Reimbursement Data

    NPI 1386738136 · Rock Springs, WY · Plastic Surgery Physician

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    Scott Sulentich is a plastic surgery physician provider located in Rock Springs, Wyoming. This profile covers 37 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 Sulentich
    Address1180 College Dr Ste 3-3
    CityRock Springs
    StateWY
    ZIP82901
    TaxonomyPlastic Surgery Physician
    NPI EnumeratedOctober 3, 2006

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

    Payer SourceTotal Paid
    Medicare$303.8K
    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.

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…100$370$38.3K
    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,…880$40$32.5K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.90$340$28.8K
    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…360$70$23.9K
    13101This is for a complex repair of a wound to the trunk.  This wound should be 2.6 to 7.5 cm in size.70$300$20.4K
    11312The provider shaves off a single epidermal or dermal lesion of 1.1 to 2.0 cm in diameter from the face, ears, eyelids, nose, lips, or mucous membranes.220$90$19.7K
    13151The provider performs closure of a wound/laceration for at least one of the following anatomic areas: eyelids, nose, ears, lips. The repair performed is of a complex nature, which involves more than…50$330$15.6K
    11311The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the face, ears, eyelids, nose, lips, or mucous membranes.200$60$11.9K
    13131The provider repairs a wound measuring 1.1 cm to 2.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…30$290$9.8K
    11302The provider shaves off a single epidermal or dermal lesion of 1.1 to 2.0 cm in diameter from the skin of the trunk, arms, or legs.140$70$9.6K

    Showing 1–10 of 37

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    37 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    131321610120$200$34.1K
    1312191070$180$20.2K
    1310121050$170$10.5K
    99213397850110$60$9.9K
    13152161040$200$8.8K
    1700026850120$30$8.6K
    11301510160$70$8.5K
    1164211080$90$7.3K
    11311110100$90$7.3K
    11603201030$90$5.4K

    Showing 1–10 of 37

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Mitchell GoffUTRetina Specialist (Ophthalmology) Physician$3.8M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    John BormesSDOphthalmology Physician$2.6M$0
    John PurvianceWYRadiation Oncology Physician$2.5M$0
    Cary ChisholmTXAnatomic Pathology & Clinical Pathology Physician$2.5M$24.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lsw, LLCWYDevelopmentally Disabled Services Day Training Agency$0$11.6M
    Able HandsWYDevelopmentally Disabled Services Day Training Agency$0$9.6M
    Sweetwater Pediatrics P.C.WYPrimary Care Clinic/Center$0$2M
    Pain Care Center, LLCWYPain Medicine (Anesthesiology) Physician$0$1.6M
    Southwest Counseling ServiceWYMental Health Clinic/Center (Including Community Mental Health Center)$0$1.5M
    Qrc LLCWYCase Management Agency$0$1.4M
    University Of Utah Adult ServicesWYEmergency Medicine Physician$0$1.2M
    Lcr Dental Rock Springs LLCWYDentist$0$1.1M
    Memorial Hospital Of Sweetwater CountyWYInternal Medicine Physician$0$1.1M
    Aai Services LLCWYCase Management Agency$0$971.4K

    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. Wyoming Distribution
    Scott Sulentich — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming