Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidScott Ebenhoeh
    Ask Trek AI about this page

    Scott Ebenhoeh — Billing Profile & Reimbursement Data

    NPI 1679705784 · Anchorage, AK · Cardiovascular Disease Physician

    Customize your policy alerts

    Sign up for Scott Ebenhoeh — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Scott Ebenhoeh is a cardiovascular disease physician provider located in Anchorage, Alaska. This profile covers 27 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationScott Ebenhoeh
    Address3841 Piper St
    CityAnchorage
    StateAK
    ZIP99508
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedAugust 23, 2009

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

    Payer SourceTotal Paid
    Medicare$341.2K
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is concentrated in cardiac diagnostic imaging and ambulatory cardiology: the top revenue codes are 78492 (myocardial perfusion PET imaging) at $77.9K (22.9% of Medicare revenue), A9555 (Rubidium rb-82 tracer) at $49.8K (14.6%), and the office E/M code 99214 at $45.8K (13.4%). The precomputed top-3 share shows these three codes together account for 50.9% of total Medicare revenue, signaling a practice model built around advanced nuclear cardiology studies plus outpatient evaluation and management visits.

    Scale and payer mix are sharply single-payer Medicare: lifetime Medicare revenue is $341.2K while there is no Medicaid billing on file, so Medicaid currently contributes $0 to this provider’s documented public-payer mix and the operation should be treated as effectively Medicare-dependent for the available claims data.

    Revenue concentration is meaningful: the dataset explicitly reports the top 3 codes produce 50.9% of the provider’s Medicare revenue, indicating a reliance on a small set of high-reimbursement procedures (notably PET perfusion imaging and its radiotracer) rather than a broad, evenly distributed code mix.

    Competitive standing is mixed by code type: 78492 ranks #466 of 926 providers nationally (49th percentile) and A9555 ranks #629 of 1266 (50th percentile), both described as "typical, unremarkable volume," which indicates this provider is a modest participant in advanced nuclear PET studies at the national level. By contrast, 99214 ranks #65332 of 479517 (86th percentile) and 93306 ranks #5182 of 24624 (79th percentile), placing this clinician toward the higher end of national volume for routine E/M visits and transthoracic echo relative to peers.

    Procedure mix and supplies suggest a nuclear cardiology/diagnostic imaging operational footprint: frequent use of A9555 (Rubidium rb-82) and A9500 (technetium sestamibi), plus billing for J2785 (regadenoson) and multiple SPECT/PET codes (78492, 78452), points to onsite or closely affiliated imaging capability and routine pharmacologic stress testing rather than only office-based cardiology encounters.

    The provider also bills a mix of hospital E/M codes (99233, 99223, 99232) alongside outpatient E/M and imaging, indicating a blended practice that includes inpatient follow-up or consults in addition to outpatient diagnostic work. These inpatient codes represent nontrivial Medicare revenue line-items (e.g., 99233 $12.2K; 99223 $11.2K), supporting the view of cross-setting clinical activity.

    Volume descriptions in the source characterize most of the listed high-revenue codes as "typical, unremarkable volume for this code," which implies no extreme statistical outliers in the national distribution for those services despite some relatively high percentiles (for example, 99214 at the 86th percentile is still labeled in the dataset as typical). Analysts should interpret percentile placement alongside the provided plain-English labels when assessing competitive strength.

    Tenure is long enough to establish local presence: the NPI was enumerated 2009-08-23 (~17 years ago), so this clinician has a sustained enrollment history in Medicare that supports evaluating multi-year patterns if additional years of claims data are available.

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78492In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes…60$1,240$77.9K
    A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries130$400$49.8K
    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…420$110$45.8K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…420$100$40.3K
    J2785Injection, regadenoson, 0.1 mg400$40$16.8K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…40$370$15.3K
    75574The provider uses computed tomography (CT) with instillation of contrast to examine any defect or abnormality in the heart or coronary artery or any abnormality due to an already present bypass…50$250$13K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…100$120$12.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$180$11.2K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…120$80$9.9K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7849281080$1,260$95.8K
    A9555810160$400$60.2K
    933061740390$100$31.2K
    992337819080$120$17.1K
    J2785810400$40$17K
    992141041,21090$100$16.2K
    78452122040$240$15.7K
    7557441050$250$14.4K
    992329928080$80$14K
    A950061080$90$10.6K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Providence Health & Services WashingtonAKGeneral Acute Care Hospital$0$161.5M
    Providence Health & Services WashingtonAKCritical Access Hospital$0$11.4M
    Alaska Heart InstituteAKCardiovascular Disease Physician$0$3.5M
    Providence Health & Services WashingtonAKGeneral Acute Care Hospital$0$2.8M
    Alaska Heart InstituteAKAmbulatory Surgical Clinic/Center$1.1M$0
    Peter EhrnstromAKMOHS-Micrographic Surgery Physician$642.7K$0
    Ahmed AbuzaidAKCardiovascular Disease Physician$544.1K$0
    Nadine BakerAKPsychologist$523.2K$0
    Jacob KellyAKAdvanced Heart Failure and Transplant Cardiology Physician$495.1K$0
    Lina BautistaAKChild & Adolescent Psychiatry Physician$0$495K

    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. Alaska Distribution
    Scott Ebenhoeh — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska