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    OpenPayerNPI Medicare & MedicaidScott Tucker
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    Scott Tucker — Billing Profile & Reimbursement Data

    NPI 1629235049 · Saco, ME · Sports Medicine (Orthopaedic Surgery) Physician

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    Scott Tucker is a sports medicine (orthopaedic surgery) physician provider located in Saco, Maine. This profile covers 12 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
    OrganizationScott Tucker
    Address15 Lund Rd
    CitySaco
    StateME
    ZIP04072
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedMay 22, 2008

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

    Payer SourceTotal Paid
    Medicare$37.4K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…160$90$13.9K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…90$80$7.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…50$120$5.5K
    99204The 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…30$120$3.4K
    99213The 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…30$70$2.2K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.60$30$1.6K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.40$30$1.2K
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.20$40$700
    20552Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.20$40$620
    72170In this procedure, the provider takes one or two X–ray images of the pelvic bone to check for any fracture, swelling, or reason of pain in the pelvis.20$20$380

    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

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145092,50070$70$7.2K
    20611114050$70$5.2K
    9921523578030$100$4.8K
    992131,5892,35050$50$4.3K
    9920435181030$100$3.6K
    20552101050$40$2.5K
    730304916040$10$550
    735645112030$10$540
    72110173020$10$390
    72050284010$10$230

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas KartisFLVascular Surgery Physician$563.3K$0
    Joshua HackelFLSports Medicine (Family Medicine) Physician$526.8K$0
    Becky OpperFLPhysician Assistant$473.1K$0
    Susan ReisingerFLRadiation Oncology Physician$423.3K$0
    Sumit VermaFLClinical Cardiac Electrophysiology Physician$398.9K$0
    Angel MorrobelFLCardiovascular Disease Physician$372.5K$0
    Thabet AlsheikhFLClinical Cardiac Electrophysiology Physician$360.2K$0
    Charles MilchteimNYOrthopaedic Surgery Physician$336.6K$0
    Patrick JoynerFLOrthopaedic Surgery Physician$304.1K$0
    Brett ReichwageFLNeurological Surgery Physician$300.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    SweetserMEMental Illness Community Based Residential Treatment Facility$0$98.1M
    SweetserMEMental Health Clinic/Center (Including Community Mental Health Center)$0$80.6M
    Mainehealth Care At HomeMEHome Health Agency$0$11.3M
    Qaisi Homecare IncMEIn Home Supportive Care Agency$0$9.2M
    SweetserMECommunity/Behavioral Health Agency$0$8.1M
    Everest Recovery Centers - MaineMESubstance Use Disorder Rehabilitation Clinic/Center$147K$7.9M
    SweetserMESubstance Use Disorder Rehabilitation Clinic/Center$0$2.5M
    Saco School DepartmentMELocal Education Agency (LEA)$0$1.7M
    Island Institute For Trauma Recovery LLCMECommunity/Behavioral Health Agency$0$1.7M
    City Of SacoMEAmbulance$269.2K$1.3M

    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. Maine Distribution
    Scott Tucker — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine