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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Karen Scott (NPI 1528359528)

Field	Value
Entity Type	Individual
Organization	Karen Scott
Address	Ecu Health Medical Center
City	Greenville
State	NC
ZIP	27834
Taxonomy	Nurse Practitioner
NPI Enumerated	April 25, 2011

Payer Source	Total Paid
Medicare	$24.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
49083	In this procedure, the provider withdraws an abnormal buildup of fluid from the abdominal cavity to relieve pressure and pain or to obtain a sample to submit to a laboratory for analysis. He…	200	$70	$13.3K
32555	In this procedure, the provider removes the fluid, blood, or air from the space between the lungs and chest wall using a needle or catheter. He performs the procedure using imaging guidance.	130	$70	$9.5K
36589	In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump.	20	$90	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Karen Scott — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
49083	2	160	30	$70	$2.9K
32555	3	150	30	$80	$2.6K
36589	17	60	20	$110	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eastern Radiologists Inc	NC	Diagnostic Radiology Physician	$0	$14.3M
Mymichigan Medical Group	MI	Multi-Specialty Clinic/Center	$0	$8.1M
Omar Haqqani	MI	Vascular Surgery Physician	$1.5M	$0
Joseph Lurito	MD	Diagnostic Radiology Physician	$529.8K	$0
Maath Alani	MI	Internal Medicine Physician	$389.3K	$0
Jose Raygada	MI	Infectious Disease Physician	$382K	$0
Maureen Barry	NC	Neuroradiology Physician	$365.9K	$14.4K
Tobin Finizio	NC	Diagnostic Radiology Physician	$357.5K	$0
Zsuzsanna Therien	NC	Diagnostic Radiology Physician	$331.3K	$0
Anjali Malik	VA	Diagnostic Radiology Physician	$247.8K	$0

Karen Scott — Billing Profile & Reimbursement Data

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

Karen Scott — Billing Profile & Reimbursement Data

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

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References