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

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

Scott Acker (NPI 1639158389)

Field	Value
Entity Type	Individual
Organization	Scott Acker
Address	6240 Shiloh Rd Ste B
City	Alpharetta
State	GA
ZIP	30005
Taxonomy	Dermatopathology (Pathology) Physician
NPI Enumerated	January 11, 2006

Payer Source	Total Paid
Medicare	$3.8M
Medicaid	$0

Key Findings

This provider’s payment mix is effectively single-payer: total Medicare revenue is $3.8M and there is no Medicaid billing on file. The absence of Medicaid activity suggests either no state-program contracts or no Medicaid-covered volume rather than balanced dual-payer operations, so analyses should treat Medicare as the primary commercial signal for scale and service mix.

Revenue concentration is high: the precomputed top three Medicare codes account for 74.1% of this provider’s total Medicare revenue. Those top three codes are 88312 ($1.7M, 45.6% of total), 88305 ($766.5K, 20.2% of total), and 88313 ($313.7K, 8.3% of total), indicating that a small set of pathology services drive most billings.

The code mix points to a core dermatopathology/pathology laboratory operation that combines high-volume surgical pathology interpretation and special staining workflows. Heavy use of 88305 (level IV surgical pathology), 88312 (special stains for microorganisms), and 88313 (special stains for Group II identification) implies routine processing of large specimen volumes with substantial technical staining and interpretive work.

Beyond surgical pathology, the provider shows a pronounced microbiology and culture footprint: very large claim volumes and elevated ranks appear for 87186 (16.8K claims), 87070 (13.4K claims), 87075 (10.8K claims), and 87077 (12.1K claims). Several of these codes are labelled as “extreme outlier” or “notably above typical” in national rank, which indicates that the operation performs substantial culture and susceptibility testing in addition to histopathology.

On competitive standing, the provider is a national-volume outlier for multiple high-revenue codes: 88312 ranks #3 of 6966 providers (100th percentile; extreme outlier), 88313 ranks #32 of 6757 (100th percentile; extreme outlier), and 88305 ranks #138 of 14580 (99th percentile; extreme outlier). These ranks show the provider operates well above typical national volumes for core pathology services and is a dominant presence for those CPT codes.

Claim-level activity underscores scale: 88312 has 20.1K claims and 88305 has 14.7K claims, demonstrating continuous high throughput in both staining/technical workflows and surgical pathology interpretation. Those claim counts combined with the revenue distribution suggest a centralized, high-volume laboratory or pathology practice rather than a low-volume consultative role.

The provider maintains capability for ancillary immunostains and cytology services but at lower relative revenue: 88342 and 88341 each contribute around 1.0–1.1% of Medicare revenue and are ranked in mid-to-high percentiles (95th and 88th respectively). This indicates available immunohistochemistry capacity and additional diagnostic services that supplement the primary surgical pathology and microbiology work.

The NPI was enumerated on 2006-01-11 (~20 years ago), indicating long-tenured Medicare enrollment. Coupled with consistently high claim volumes and extreme national ranks for core codes, this tenure supports interpretation of the activity as an established, stable operation rather than a transient or newly scaled lab.

Medicare: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	20,110	$90	$1.7M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	14,740	$50	$766.5K
88313	The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…	4,900	$60	$313.7K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	8,930	$30	$303.7K
87186	The lab analyst performs the technical steps to evaluate a culture isolate’s susceptibility, or sensitivity, to multiple antimicrobial agents, commonly called antibiotics, by observing growth of the…	16,850	$10	$134.8K
87070	The lab analyst performs the technical lab steps to culture a specimen from any source except urine, blood, or stool. This service involves aerobic culture, which refers to the presence of oxygen.…	13,430	$10	$107.5K
87075	The lab analyst performs an anaerobic culture using material from any source except blood, and identifies any isolated bacteria to the least specific level, such as genus.	10,820	$10	$97.3K
87077	The lab analyst performs additional tests on a presumptively identified aerobic isolate to definitively, which means more specifically, identify the organism, such as to the level of species.	12,080	$10	$96.7K
87205	The analyst performs a technical lab test for bacteria, fungi, or cell types using Gram or Giemsa stain on a primary source with interpretation.	13,430	$1	$53.7K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	550	$80	$41K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Scott Acker — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	8	340	650	$40	$73.6K
87798	1	10	220	$30	$48.6K
88312	1	240	70	$70	$34K
87075	1	10	80	$10	$27.5K
87070	1	10	30	$10	$20.3K
87205	1	10	100	$1	$15.9K
88341	29	230	220	$30	$11.4K
88342	15	260	120	$50	$10.5K
88313	1	210	70	$40	$10.2K
87186	2	60	20	$10	$9.4K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bakotic Pathology Associates, LLC	GA	Clinical Medical Laboratory	$101.5K	$13.3M
Bakotic Pathology Associates, LLC	FL	Clinical Medical Laboratory	$2.1M	$8.3K
Jochen Schaefer	CA	Dermatopathology (Pathology) Physician	$1.5M	$0
Darren Harris	GA	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$0
William Betsill	GA	Clinical Medical Laboratory	$1.3M	$0
John Grimwood	GA	Anatomic Pathology & Clinical Pathology Physician	$1.2M	$0
Carolina Montes	GA	Anatomic Pathology & Clinical Pathology Physician	$1.1M	$0
Roger Sica	NC	Dermatology Physician	$1.1M	$0
Sheva Khalafbeigi	MA	Anatomic Pathology & Clinical Pathology Physician	$1M	$10K
Darryl Hodson	GA	Dermatology Physician	$914.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Modify Health Inc	GA	Community Health Worker	$0	$5M
Tots, Inc.	GA	Pediatric Occupational Therapist	$0	$3M
Pain & Spine Physicians Surgery Center LLC	GA	Ambulatory Surgical Clinic/Center	$1.9M	$0
Eli Piatigorsky	GA	Dermatopathology Physician	$1.1M	$0
Wiles Therapy Services Inc	GA	Pediatric Occupational Therapist	$0	$985.5K
Diagnostic Solutions Laboratory, LLC	GA	Clinical Medical Laboratory	$952K	$5.6K
Danelle Wilson	GA	Pediatrics Physician	$0	$879.4K
Katarina Lequeux-nalovic	GA	MOHS-Micrographic Surgery Physician	$863.3K	$0
Kimara Whisenant	GA	Anatomic Pathology Physician	$722.3K	$0
Ralph Winkler	GA	Anatomic Pathology & Clinical Pathology Physician	$639.6K	$0

Scott Acker — 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