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

    NPI 1669529400 · Kaneohe, HI · Family Medicine Physician

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    Scott Miscovich is a family medicine physician provider located in Kaneohe, Hawaii. This profile covers 21 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 Miscovich
    Address46-001 Kamehameha Hwy Ste 109
    CityKaneohe
    StateHI
    ZIP96744
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJanuary 4, 2007

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

    Payer SourceTotal Paid
    Medicare$157.4K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…740$90$66.1K
    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…790$60$50.8K
    99203The 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…270$70$19.1K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…130$50$6.3K
    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…50$100$5.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$140$2.8K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.100$10$1.3K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.50$20$860
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…90$10$840
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…20$40$670

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80061810170$10$142.4K
    83036113040$10$28.2K
    99214511,440100$80$15.2K
    99213241,46070$60$8.4K
    G043920526050$110$8.1K
    9920417763030$110$5.3K
    G000829531040$30$4K
    0124A587050$40$3.7K
    99203445030$70$3.6K
    9921227831030$40$2.9K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Scott J. Miscovich Md, LLCHIFamily Medicine Physician$0$686.4K
    Portner Orthopedic Rehabilitation IncorporatedHIPhysical Medicine & Rehabilitation Physician$0$672.8K
    Windward Urgent Care Services, L.L.CHIUrgent Care Clinic/Center$0$670.5K
    Spencer LauHIGeneral Practice Physician$42.3K$45.7K
    Ka'ohimanu AkionaHIFamily Medicine Physician$39.9K$0
    Vincent LeonHIFamily Medicine Physician$6.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Alcoholic Rehabilitation Services Of Hawaii IncHISubstance Abuse Rehabilitation Facility$0$4.5M
    Oahu Oral And Maxillofacial SurgeryHIOral and Maxillofacial Surgery Clinic/Center$0$3.7M
    Po AilaniHIMental Illness Community Based Residential Treatment Facility$0$3.3M
    Usrc Ko'olau LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.6M
    Dialysis Newco LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.1M
    Western Health ResourcesHIHome Health Agency$0$1.9M
    Dialysis Newco LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.5M
    Usrc Windward, LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.4M
    Paul M.t. YimHIDentist$0$960.9K
    Windward Pediatrics, Inc.HISpecialist$0$848.2K

    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. Hawaii Distribution
    Scott Miscovich — 5 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii