Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. U.S. Virgin Islands (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Scott Hartshorn (NPI 1730269325)

Field	Value
Entity Type	Individual
Organization	Scott Hartshorn
Address	9149 Estate Thomas Ste 203
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Family Medicine Physician
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicare	$56K
Medicaid	$0

Key Findings

This profile is effectively single-payer at the claims level: Total Medicare revenue is $56K while Total Medicaid revenue is none, so all billed public-pay encounters on file are Medicare only. That absence of Medicaid billing indicates this provider’s public-pay volume and financial footprint are concentrated entirely within the Medicare program.

Revenue concentration is high within a small set of office-visit E/M codes: the precomputed top three Medicare codes (99214, 99213, 99215) account for 86.8% of the provider’s total Medicare revenue. In particular, 99214 alone generates $30.9K (55.4% of Medicare revenue) and 99213 contributes $14.5K (25.9%), so established outpatient visits are the dominant revenue stream.

The code mix and revenue drivers are consistent with a family medicine primary-care practice model: the three highest-revenue codes are 99214, 99213 and 99215, reflecting predominantly established-patient office visits with a range of visit complexity. Ancillary services are present but secondary — minor skin procedures (17000, 11102) and influenza vaccine codes (90694, G0008) appear in the top codes but account for relatively small shares of revenue.

Competitive standing on core visit codes shows modest-to-moderate activity versus national peers: 99214 ranks #59663 of 479517 providers nationally (88th percentile) and 99213 ranks #69416 of 457151 (85th percentile), which places this provider above many peers in raw volume for those codes even though the dataset labels the volumes as typical/unremarkable. By contrast, higher-complexity visits coded with 99215 sit at #88894 of 145531 (38th percentile), indicating relatively lower volume of the highest-complexity E/M visits.

Procedure and preventive-care codes are present but not dominant: 17000 (48 claims, $2.1K revenue) and 11102 (13 claims, $624 revenue) indicate occasional minor dermatologic procedures, and vaccine codes 90694 (26 claims, $2K revenue) and G0008 (27 claims, $837 revenue) show routine influenza immunization activity. Each of these non-E/M codes ranks in lower national percentiles (for example, 17000 at the 23th percentile and 90694 at the 27th percentile), underscoring that procedural and immunization work supports but does not drive this provider’s revenue.

The provider’s claim volumes illustrate day-to-day practice scale: 99214 has 442 claims and 99213 has 268 claims on file, reflecting the bulk of encounter activity is standard office follow-ups and chronic-care management rather than high volumes of procedures or inpatient work. These claim counts align with the revenue concentration pattern where a few E/M codes produce most Medicare receipts.

Tenure is long-standing: the NPI was enumerated on 2006-10-17 (~20 years ago), indicating roughly two decades of being registered in the national provider system. That tenure suggests an established local practice presence in ST THOMAS, VI, even though Medicaid activity is absent from the record.

From a payer-mix and strategic-implication perspective, this profile would be classified as a Medicare-dominant, primary-care physician with concentrated revenue risk tied to a small set of established-patient E/M codes. Any payer or network considering contracting or care-management programs should note the heavy reliance on 99214/99213 visits (86.8% of Medicare revenue) and the lack of Medicaid claims when evaluating coverage, referral patterns, or risk-adjustment strategies.

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
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…	440	$70	$30.9K
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…	270	$50	$14.5K
99215	The 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…	30	$110	$3.1K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	50	$40	$2.1K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	30	$80	$2K
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…	20	$50	$1.2K
G0008	Administration of influenza virus vaccine	30	$30	$840
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	10	$50	$620
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	120	$10	$610

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

Claims Volume vs. U.S. Virgin Islands Distribution

Scott Hartshorn — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	20	30	60	$120	$19.8K
99214	11	80	100	$80	$15.5K
99213	15	80	100	$50	$7.6K
99203	25	30	50	$60	$3.8K
90694	4	10	30	$70	$3.3K
17000	3	10	50	$40	$2.4K
G0008	8	10	50	$30	$1.7K
11102	2	10	10	$50	$1.5K
17003	2	10	100	$1	$560

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Myrah Keating Smith Community Health Center	VI	Clinic/Center	$0	$938.1K
Emmanuel Graham	VI	Urology Physician	$318.4K	$0
Reva Richardson	VI	Internal Medicine Physician	$154.4K	$0
James Bennett	GA	Urology Physician	$112.2K	$0
David Weisher	VI	Medical Specialty Clinic/Center	$103.3K	$0
Siri Akal	VI	Family Medicine Physician	$98.3K	$0
John Franklin	VI	Urology Physician	$92.3K	$0
Hillary Woodson Gaskins	VI	Family Medicine Physician	$62.6K	$0
Joseph Dejames	VI	Legal Medicine	$26.5K	$0
Tai Hunte	VI	Infectious Disease Physician	$15.9K	$8.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
The St Thomas East End Medical Center Corporation	VI	Federal Public Health Clinic/Center	$0	$12.8M
Aac-air Ambulance Caribbean Inc.	VI	Air Ambulance	$2M	$8.6M
Vi Relocation Services And Rentals LLC	VI	Land Ambulance	$0	$6.8M
Alicia Prentice	VI	Home Health Aide	$0	$3.9M
Stretcher Plus, LLC	VI	Non-emergency Medical Transport (VAN)	$0	$2.8M
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Vi Oral Surgery, Inc	VI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M

Scott Hartshorn — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References