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    v1.0.28
    OpenPayerNPI Medicare & MedicaidScott Cathcart
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    Scott Cathcart — Billing Profile & Reimbursement Data

    NPI 1659876571 · Portland, ME · Internal Medicine Physician

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    Scott Cathcart is a internal medicine physician provider located in Portland, Maine. This profile covers 20 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 Cathcart
    Address84 Marginal Way
    CityPortland
    StateME
    ZIP04101
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMarch 25, 2018

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

    Payer SourceTotal Paid
    Medicare$19.5K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…110$40$4.5K
    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…60$50$2.8K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.20$130$2K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…10$90$1.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.140$10$1.2K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…10$70$1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit40$20$940
    G0472Hepatitis c antibody screening, for individual at high risk and other covered indication(s)20$50$720
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.50$10$680
    90480The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.20$40$640

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    91320618040$130$15K
    992141,4442,50070$70$7.2K
    9066219223030$70$4.6K
    9923938844040$90$4.4K
    G043937065050$70$4.3K
    992135972,35050$50$4.3K
    9048017820060$30$3.9K
    G000826134050$30$2.5K
    G047251020$50$2.4K
    364158425090$10$2.2K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Intermed, PAMEInternal Medicine Physician$0$821.2K
    Kenneth GaleckasMEDermatology Physician$325.8K$0
    Daniel LoiselleMEInternal Medicine Physician$300.5K$0
    Caroline WilmotMEPrimary Care Nurse Practitioner$174.8K$0
    Victoria LazarethMEAdult Health Nurse Practitioner$165.7K$3.5K
    Paul McgrathMECardiovascular Disease Physician$97.6K$0
    James ZeitlinMEInternal Medicine Physician$89.1K$0
    Robert FraserMEInternal Medicine Physician$87.3K$0
    Kathy BushMEDermatology Physician$86.9K$0
    James ParkerMECardiovascular Disease Physician$78.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MainehealthMECommunity/Behavioral Health Agency$0$115M
    Goodwill Industries Of Northern New EnglandMEComprehensive Outpatient Rehabilitation Facility (CORF)$0$106M
    Maine Vocational Associates, Inc.MEDevelopmentally Disabled Services Day Training Agency$0$34.3M
    Catholic Charities MaineMEClinical Social Worker$0$17.7M
    Spurwink Services IncorporatedMEMental Health Clinic/Center (Including Community Mental Health Center)$0$16.8M
    Milestone RecoveryMESubstance Abuse Rehabilitation Facility$0$8.8M
    Portland Community Health CenterMEFederally Qualified Health Center (FQHC)$0$7.4M
    Black Bear Medical, Inc.MECustomized Equipment (DME)$0$7.4M
    Usa Family Well Being Services LLCMECommunity/Behavioral Health Agency$0$6.3M
    City Of PortlandMELand Ambulance$740.2K$5.4M

    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 Cathcart — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine