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    OpenPayerNPI Medicare & MedicaidFrancis Scholz
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    Francis Scholz — Billing Profile & Reimbursement Data

    NPI 1508966482 · Burlington, MA · Diagnostic Radiology Physician

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    Francis Scholz is a diagnostic radiology physician provider located in Burlington, Massachusetts. This profile covers 8 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
    OrganizationFrancis Scholz
    AddressLahey Clinic
    CityBurlington
    StateMA
    ZIP01805
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedSeptember 22, 2006

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

    Payer SourceTotal Paid
    Medicare$18.1K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.950$10$7.6K
    74221The provider performs a double–contrast X–ray of the esophagus using high–density barium and an effervescent agent; the procedure includes scout films prior to ingestion of the barium and delayed…120$30$3.2K
    74019Report this code for two X–ray views of the structures and organs in the abdomen to diagnose certain abdominal problems.290$10$2.6K
    74246The provider uses fluoroscopy and both air and high–density barium contrast to better evaluate the upper gastrointestinal (GI) tract, including the esophagus, stomach, and duodenum. Glucagon may be…60$30$1.8K
    74220The provider uses imaging such as fluoroscopy to visualize the patient’s esophagus, typically while the patient swallows a barium sulfate compound; he views the live images and also records the…50$20$1.1K
    74248Following an upper gastrointestinal radiologic study, the provider performs a small intestine follow–through, taking multiple series images. Report this code in addition to the code for the primary…30$30$810
    74270The provider takes X–rays of the colon after instilling a contrast agent such as barium through the rectum into the colon. The service also includes a scout film of the abdomen taken before the…20$40$680
    74240The provider takes an imaging series of the upper gastrointestinal tract, including the esophagus, stomach, and the beginning of the small intestine, or duodenum using barium sulfate contrast. The…10$30$390

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    74240162020$60$6.1K
    7424624010$40$690
    7422119020$30$690
    74018354040$10$560
    7427011010$40$550
    7422047020$20$470
    7424811010$30$450
    74019326020$10$370

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeffrey MarxMAOphthalmology Physician$933.2K$0
    Gregory BlahaMAOphthalmology Physician$318.1K$0
    Andrew KowalMAPain Medicine (Anesthesiology) Physician$226.3K$1.7K
    Kimberly JordanMNDiagnostic Radiology Physician$215.2K$0
    R. BohigianMAOtolaryngology Physician$201.2K$0
    Jonathan SilverMAClinical Cardiac Electrophysiology Physician$189.6K$1.1K
    Arthur MourtzinosMAUrology Physician$186.2K$0
    Christopher PyneMAInterventional Cardiology Physician$176.1K$4.9K
    Sarkis SoukiasianMAUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician$170.3K$0
    Bruce HookMAClinical Cardiac Electrophysiology Physician$160K$290

    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. Massachusetts Distribution
    Francis Scholz — 5 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts