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

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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.

Richard Scartozzi (NPI 1487688826)

Field	Value
Entity Type	Individual
Organization	Richard Scartozzi
Address	69 Sand Pit Rd
City	Danbury
State	CT
ZIP	06810
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

This provider is effectively single-payer: total Medicare revenue is $1.7M and there is no Medicaid billing on file, so Medicaid does not contribute to the observed revenue mix. The absence of Medicaid billing suggests the provider’s publicly billed activity is concentrated in the Medicare population rather than split across Medicare and Medicaid.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes account for 73.4% of this provider's total Medicare revenue, driven primarily by J0178 (58.7%), plus J3490 (7.4%) and 92235 (7.2%). This concentration indicates the practice derives the large majority of its Medicare income from a narrow set of drug and diagnostic codes.

Code mix and volume point to a retina-focused procedural practice: J0178 (aflibercept injection) is the largest single revenue driver and 67028 (intravitreal injection) also appears in the top codes, while high volumes of retinal imaging codes such as 92235, 92250, and 92134 indicate extensive diagnostic imaging and follow-up. Together these codes are consistent with a practice that performs frequent anti-VEGF therapy and retinal diagnostic workflows rather than a general ophthalmology clinic.

Competitive standing on therapeutic injections is moderate: J0178 generates $1M (58.7% of Medicare revenue) but ranks #840 of 3204 providers nationally (74th percentile; typical, unremarkable volume for this code), indicating this provider is a significant user of aflibercept relative to many peers but not a national outlier. In other words, injections are the dominant revenue stream for this provider even though their injection volume is within a common national range.

This provider is an outlier on retinal imaging volumes: 92235 ranks #18 of 2192 providers nationally (99th percentile; extreme outlier, far above typical national volume) and 92250 ranks #50 of 25087 providers nationally (100th percentile; extreme outlier, far above typical national volume). The very high rank and percentile for these imaging codes suggest unusually heavy in‑office diagnostic imaging throughput relative to peers and likely reflects a high-volume retinal diagnostics operation.

Office visit activity is notably above typical national levels for evaluation-and-management codes: 99214 (944 claims) ranks #13192 of 479517 providers nationally (97th percentile; notably above typical national volume) and 99213 (596 claims) ranks #19643 of 457151 providers nationally (96th percentile; notably above typical national volume). These elevated percentiles indicate substantial outpatient visit volume consistent with frequent follow-up visits and care management for chronic retinal disease.

Although J3490 and J3590 (unclassified drug/biologic codes) appear in the top billing list (J3490 $128.6K, J3590 $59.4K), their national ranks are middling to low (#1302 of 2838 for J3490, 53th percentile; #527 of 631 for J3590, 15th percentile), suggesting that while unclassified drug billing contributes materially to this provider’s Medicare revenue, it does not represent an unusually large national footprint. These codes may reflect ancillary or less-standardized drug services that supplement the core injection and imaging lines.

Provider tenure is long-standing: the NPI was enumerated on 2006-07-10 (~20 years ago), indicating roughly two decades of presence in Medicare billing records. That length of enumeration, combined with the high imaging and visit volumes, is consistent with an established retina practice with sustained clinical activity over time.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,470	$690	$1M
J3490	Unclassified drugs	60	$2,010	$128.6K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	1,090	$120	$125.8K
99214	The 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…	940	$100	$91.6K
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.	860	$100	$85.1K
J3590	Unclassified biologics	30	$2,120	$59.4K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	1,760	$30	$52.9K
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…	600	$80	$46.3K
99213	The 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…	600	$70	$39.3K
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.	1,150	$30	$37.8K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Richard Scartozzi — 4 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	11	40	830	$690	$713.1K
J3590	5	10	50	$2,090	$127.3K
J3490	7	20	50	$1,380	$76K
67028	18	50	540	$100	$66.4K
92014	104	580	100	$90	$18.6K
92012	26	300	120	$70	$15.2K
92235	1	30	40	$110	$14.8K
99214	57	6,480	90	$90	$14.2K
J9035	17	30	130	$50	$10.4K
99213	155	6,440	70	$60	$8.1K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nauman Chaudhry	CT	Retina Specialist (Ophthalmology) Physician	$5.1M	$0
New England Retina Associates, P.C	CT	Retina Specialist (Ophthalmology) Physician	$0	$4.4M
Connecticut Eye Consultants, PC	CT	Ophthalmology Physician	$0	$3.1M
Connecticut Eye Consultants, PC	CT	Durable Medical Equipment & Medical Supplies	$0	$1.9M
Armand Daccache	CT	Retina Specialist (Ophthalmology) Physician	$1.5M	$0
Gregory Haffner	CT	Ophthalmology Physician	$1.4M	$0
Bruce Altman	CT	Glaucoma Specialist (Ophthalmology) Physician	$330.9K	$0
Anisha Jangi	CT	Cornea and External Diseases Specialist Physician	$263.5K	$0
Eitan Burstein	CT	Glaucoma Specialist (Ophthalmology) Physician	$244.5K	$0
Matthew Paul	CT	Ophthalmology Physician	$243.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Danbury Hospital	CT	General Acute Care Hospital	$0	$123.8M
Family And Children's Aid, Inc.	CT	Adolescent and Children Mental Health Clinic/Center	$0	$64M
Midwestern Connecticut Council On Alcoholism, Inc	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$39.9M
Connecticut Institute For Communities Inc	CT	Federally Qualified Health Center (FQHC)	$0	$32.8M
Nuvance Health Medical Practice Ct, Inc.	CT	Internal Medicine Physician	$0	$20.2M
Connecticut Institute For Communities Inc	CT	Federally Qualified Health Center (FQHC)	$0	$14.9M
Connecticut Counseling Centers, Inc.	CT	Methadone Clinic	$243.5K	$12.1M
Center For Pediatric Medicine	CT	Pediatrics Physician	$0	$9.4M
Optimum Medical LLC	CT	Pediatrics Physician	$0	$8.9M
Kids Dental Specialists LLC	CT	Pediatric Dentistry	$0	$7.8M

Richard Scartozzi — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References