Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidScott Leary
    Ask Trek AI about this page

    Scott Leary — Billing Profile & Reimbursement Data

    NPI 1417085978 · San Diego, CA · Neurological Surgery Physician

    Customize your policy alerts

    Sign up for Scott Leary — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Scott Leary is a neurological surgery physician provider located in San Diego, California. This profile covers 31 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.

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationScott Leary
    Address6645 Alvarado Rd
    CitySan Diego
    StateCA
    ZIP92120
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedFebruary 28, 2007

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

    Payer SourceTotal Paid
    Medicare$282.4K
    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…410$150$60.4K
    63090The provider excises all or part of a lower thoracic, lumbar, or sacral vertebral via a transperitoneal (abdominal) or retroperitoneal (anterolateral) approach and with decompression of the spinal…20$1,440$28.9K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…30$770$20.7K
    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…90$180$16.8K
    63710The provider uses a dural graft during a separately reportable procedure to close an opening in the dura, the tough outer membrane surrounding the central nervous system.30$460$13.8K
    22845The provider places spinal instrumentation at the front of the spine across two to three vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…20$570$12K
    22854The provider inserts a metallic cage or mesh device(s) to cover one or more defects caused by the complete or partial removal (resection) of a vertebral body (corpectomy) and may use screws or…50$260$11.9K
    22224The provider incises a vertebra, one of the interlocking bones in the spine, to remove portions of the bone, changing the alignment of the spine.  He excises the disk material adjoining the…20$650$11.1K
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…30$310$10.2K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…20$600$9K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    226126721020$1,320$31.7K
    9921429,12837,970120$90$23.2K
    2261417423050$230$19.4K
    6449350867050$220$18.8K
    6309051010$900$17.9K
    225586112020$600$15K
    15002313030$230$14.5K
    9921571515,36050$130$14.4K
    2222421020$760$13.7K
    6304716232020$550$13.7K

    Showing 1–10 of 31

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southern California Permanente Medical GroupCAHealth Maintenance Organization$0$42.8M
    Nicholas BaiCAPhysician Assistant$6M$0
    Bernard MichlinCAInternal Medicine Physician$1.1M$363K
    Fred ShahanCADermatology Physician$1.3M$0
    Oleg GavrilyukCAPhysical Medicine & Rehabilitation Physician$366.1K$1K
    Jeannine ShivelyCAPhysician Assistant$250K$0
    James BatesCAOrthopaedic Surgery Physician$155.2K$0
    Herman SkorobogatyCASurgery Physician$110.4K$0
    Larry EmdurCAPulmonary Disease Physician$63.7K$0
    William LoCAAnesthesiology Physician$59.6K$0

    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. California Distribution
    Scott Leary — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California