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

    NPI 1669437125 · Rock Hill, SC · Gastroenterology Physician

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    Scott Richardson is a gastroenterology physician provider located in Rock Hill, South Carolina. This profile covers 19 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 Richardson
    Address170 Amendment Ave
    CityRock Hill
    StateSC
    ZIP29732
    TaxonomyGastroenterology Physician
    NPI EnumeratedApril 19, 2006

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

    Payer SourceTotal Paid
    Medicare$137.2K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…160$200$31.6K
    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…300$90$25.8K
    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…140$110$15.8K
    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…100$120$11.7K
    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…180$60$10.4K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.130$70$9.5K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…110$80$9.3K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…50$100$4.6K
    93975The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…30$150$4.1K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk20$150$3.4K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453857127090$270$36.9K
    992142,5447,860160$80$23.2K
    453807826060$170$18.9K
    432399127090$120$16.1K
    G010512317040$260$16K
    43450588050$140$12.6K
    992321,8212,78090$60$12K
    992132,4427,690100$60$10.8K
    992155142,36040$120$9.3K
    992044044,52040$110$6.4K

    Showing 1–10 of 19

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amisub Of South Carolina, Inc.SCGeneral Acute Care Hospital$0$34.5M
    New Horizons HomecareSCCommunity Based Hospice Care Agency$0$14.6M
    Tri-county Pediatrics LLCSCPediatrics Physician$0$13.8M
    Carolinas Physicians Network IncSCPediatrics Physician$0$8.5M
    A Mother's Choice Home Healthcare Agency LLCSCIn Home Supportive Care Agency$0$6.9M
    Right Steps LLCSCSpeech-Language Pathologist$0$5.3M
    Southern Home Care Services, Inc.SCIn Home Supportive Care Agency$0$4M
    Addus Healthcare (south Carolina), Inc.SCIn Home Supportive Care Agency$0$3.7M
    Family Dental LLCSCGeneral Practice Dentistry$0$3.5M
    Rock Hill Surgery Center, LLCSCAmbulatory Surgical Clinic/Center$1.3M$1.7M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Carolina Distribution
    Scott Richardson — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina