Scott Anderson — Billing Profile & Reimbursement Data
NPI 1659320422 · Madison, WI · Orthopaedic Surgery Physician
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Scott Anderson is a orthopaedic surgery physician provider located in Madison, Wisconsin. This profile covers 9 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.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Scott Anderson |
| Address | University Of Wisconsin Hospital And Clinics |
| City | Madison |
| State | WI |
| ZIP | 53792 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | May 9, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $150K |
| 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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 50 | $910 | $46.6K |
| 23472 | In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider… | 40 | $1,050 | $45K |
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 40 | $920 | $39.5K |
| 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… | 120 | $90 | $10.9K |
| 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… | 90 | $50 | $4.5K |
| 99204 | The 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… | 10 | $120 | $1.7K |
| 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… | 10 | $70 | $990 |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 20 | $40 | $560 |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 10 | $10 | $160 |
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Nearby Providers
Other providers in the same ZIP code as Scott Anderson, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| David Lewis | WI | Ophthalmology Physician | $1.4M | $0 |
| Jagroop Basraon | WI | Clinical Cardiac Electrophysiology Physician | $1.1M | $0 |
| Rakesh Mandal | WI | Clinical Pathology/Laboratory Medicine Physician | $67.1K | $547.9K |
| Daniel Guerra Rodas | WI | Nephrology Physician | $147.6K | $462.1K |
| Ali Pirasteh | WI | Diagnostic Radiology Physician | $498.3K | $0 |
| Robert Hegeman | WI | Medical Oncology Physician | $393.7K | $0 |
| Michael Christopher | WI | Dermatology Physician | $386K | $0 |
| Mark Mounajjed | WI | Infectious Disease Physician | $381.5K | $0 |
| Christine Vetter | WI | Diagnostic Radiology Physician | $367.5K | $0 |
| Scott Perlman | WI | Nuclear Imaging & Therapy Physician | $351.6K | $0 |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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