Loading...
NPI 1528088036 · Waynesboro, VA · Internal Medicine Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Scott Seaton is a internal medicine physician provider located in Waynesboro, Virginia. This profile covers 17 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Scott Seaton |
| Address | 15 Pratts Run Ste A01 |
| City | Waynesboro |
| State | VA |
| ZIP | 22980 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | July 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $265.8K |
| Medicaid | $2.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,580 | $90 | $135.8K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 410 | $130 | $52.4K |
| 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… | 330 | $60 | $21.1K |
| 90662 | This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection… | 270 | $60 | $17.2K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 40 | $280 | $11K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 970 | $10 | $7.8K |
| G0008 | Administration of influenza virus vaccine | 300 | $20 | $6.3K |
| 93793 | The provider reviews and interprets a new INR test result of a patient taking regular doses of warfarin after which he adjusts the dosage if needed, instructs the patient on continued treatment, and… | 530 | $10 | $4.7K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 330 | $10 | $2.9K |
| 99203 | The provider sees a new 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 provider… | 30 | $70 | $1.7K |
Showing 1–10 of 17
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
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 91 | 12,890 | 140 | $80 | $21K |
| G0439 | 95 | 2,960 | 80 | $120 | $14.7K |
| 99213 | 1,706 | 12,440 | 90 | $60 | $10K |
| 90677 | 316 | 1,850 | 20 | $280 | $8K |
| 90662 | 72 | 2,260 | 60 | $70 | $5.8K |
| 99203 | 2,961 | 4,920 | 30 | $70 | $3.8K |
| G0008 | 247 | 3,490 | 70 | $30 | $3.1K |
| 36415 | 129 | 2,620 | 120 | $10 | $3K |
| 83036 | 104 | 1,190 | 80 | $10 | $2.5K |
| 0134A | 481 | 560 | 30 | $40 | $1.8K |
Showing 1–10 of 17
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 40 | $60 | $2.6K |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 2,839 | 3,520 | 370 | $70 | $280.7K |
Other providers in the same ZIP code as Scott Seaton, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Community Living Services | VA | Intellectual and/or Developmental Disabilities Residential Treatment Facility | $0 | $10.8M |
| Valley Pediatric Group, Plc | VA | Pediatrics Physician | $0 | $6.9M |
| Waynesboro First Aid Crew, Inc. | VA | Land Ambulance | $435K | $835K |
| Scott Lawrence | VA | Ophthalmology Physician | $510.8K | $0 |
| Keith Knoell | VA | Dermatology Physician | $408.2K | $0 |
| Donald Lee | VA | Family Medicine Physician | $359.6K | $0 |
| Scott Young | VA | Family Medicine Physician | $252.5K | $0 |
| Gerald Showalter | VA | Clinical Psychologist | $132.8K | $0 |
| Virginia Cvs Pharmacy, L.L.C. | VA | Pharmacy | $129.7K | $20 |
| Jennifer Davis | VA | Optometrist | $112.2K | $0 |
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.