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

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

Kathleen Scroggins (NPI 1639185259)

Field	Value
Entity Type	Individual
Organization	Kathleen Scroggins
Address	137 S Main St Ste 100
City	Akron
State	OH
ZIP	44308
Taxonomy	Family Medicine Physician
NPI Enumerated	August 1, 2006

Payer Source	Total Paid
Medicare	$10.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	80	$50	$3.8K
90671	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 15–valent vaccine, protecting against 15 strains of the…	10	$240	$2.7K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	$70	$2.3K
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…	30	$40	$1K
G0009	Administration of pneumococcal vaccine	20	$30	$460

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Kathleen Scroggins — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	10,901	20,010	100	$70	$11.7K
G0439	3,243	4,720	60	$90	$7.4K
99213	15,635	20,000	70	$50	$6.6K
90671	10	10	20	$250	$5.2K
G0009	1,462	2,410	20	$30	$630

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Doctors Care, PA	SC	Family Medicine Physician	$0	$50.7M
Erie County Office Of Auditor	OH	Federally Qualified Health Center (FQHC)	$0	$7.5M
Erie County Office Of Auditor	OH	Substance Use Disorder Rehabilitation Hospital Unit	$0	$7M
Stephen Parks	SC	Family Medicine Physician	$3.9M	$0
Kalpesh Purohit	SC	Family Medicine Physician	$2.1M	$0
Nicole Edwards	SC	Family Medicine Physician	$300.4K	$0
Jeffrey Herman	SC	Internal Medicine Physician	$291.5K	$2.8K
Ashley Wilson	SC	Physician Assistant	$218.5K	$0
Cheryl Lonabaugh	SC	Nurse Practitioner	$148K	$0
Holly Poplin	SC	Primary Care Nurse Practitioner	$143.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital Medical Center Of Akron	OH	Children's Hospital	$0	$556.2M
Children's Hospital Medical Center Of Akron	OH	Pediatrics Physician	$0	$87.2M
Portage Path Community Mental Health Center	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.9M
City Of Akron Oh	OH	Ambulance	$485.6K	$4.2M
Erin Murphy	OH	Radiation Oncology Physician	$48.4K	$0
Alex Singleton	OH	Vascular & Interventional Radiology Physician	$25.7K	$0
Sylvia Obradovich	OH	Clinical Psychologist	$17.4K	$0

Kathleen Scroggins — Billing Profile & Reimbursement Data

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Kathleen Scroggins — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References