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 New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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 Foxman (NPI 1447224175)

Field	Value
Entity Type	Individual
Organization	Scott Foxman
Address	1500 Tilton Rd
City	Northfield
State	NJ
ZIP	08225
Taxonomy	Ophthalmology Physician
NPI Enumerated	February 17, 2006

Payer Source	Total Paid
Medicare	$2M
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,270	$690	$878.8K
J2777	Injection, faricimab‑svoa, 0.1 mg	22,020	$30	$638.6K
J3490	Unclassified drugs	80	$1,770	$134.4K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	900	$120	$108K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	1,010	$110	$106.5K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	610	$70	$43.6K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	1,290	$30	$42.5K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	360	$100	$35.1K
J2778	Injection, ranibizumab, 0.1 mg	190	$180	$35K
99204	The 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…	40	$130	$4.9K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Scott Foxman — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	28	90	880	$690	$693.6K
J2777	8	60	8,820	$30	$319K
J2778	41	40	1,140	$180	$240.8K
67028	43	100	810	$100	$91.1K
J2781	7	20	570	$120	$88.8K
92014	345	1,130	160	$100	$34.9K
J3490	52	120	70	$230	$30.2K
92012	90	800	140	$70	$18.5K
J9035	50	60	80	$50	$14.2K
92134	48	700	90	$30	$10K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Omesh Gupta	PA	Ophthalmology Physician	$7.1M	$80
Mitchell Fineman	PA	Ophthalmology Physician	$7M	$0
Michael Klufas	PA	Ophthalmology Physician	$7M	$0
Richard Kaiser	PA	Ophthalmology Physician	$6.6M	$0
Allen Chiang	PA	Ophthalmology Physician	$6.6M	$0
Carl Regillo	PA	Ophthalmology Physician	$6.5M	$0
Allen Ho	PA	Ophthalmology Physician	$6.4M	$0
Yoshihiro Yonekawa	PA	Ophthalmology Physician	$6.4M	$0
James Vander	PA	Ophthalmology Physician	$6.3M	$0
Marc Spirn	PA	Ophthalmology Physician	$6.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reliance Medical Group LLC	NJ	Specialist	$0	$9.4M
Naim Nazha	NJ	Medical Oncology Physician	$2.8M	$0
Thomas Margolis	NJ	Ophthalmology Physician	$2.5M	$0
Brett Foxman	NJ	Ophthalmology Physician	$1.6M	$0
Jaime Epstein	NJ	Mental Health Counselor	$140.9K	$1.4M
Daniel Connors	NJ	Ophthalmology Physician	$1.5M	$0
James Dalzell	NJ	Radiation Oncology Physician	$1.1M	$0
David Feng	NJ	Specialist	$798.8K	$0
Francis Previti	NJ	Surgery Physician	$434.6K	$0
M Seplow	NJ	Psychiatry Physician	$383.5K	$0

Scott Foxman — 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

Nearby Providers

Frequently Asked Questions

References