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

    NPI 1730370875 · Rockwall, TX · Medical Oncology Physician

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    Scott Seals is a medical oncology physician provider located in Rockwall, Texas. This profile covers 52 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 Seals
    Address3144 Horizon Rd Ste 110
    CityRockwall
    StateTX
    ZIP75032
    TaxonomyMedical Oncology Physician
    NPI EnumeratedAugust 5, 2007

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

    Payer SourceTotal Paid
    Medicare$1M
    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.

    52 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg14,700$40$632.1K
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session460$270$124.9K
    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…680$60$42.3K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…30$1,140$31.9K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev180$180$31.2K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…290$100$27.6K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg250$90$21.7K
    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…200$100$19.3K
    G6013Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev90$180$15.1K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg70$130$8.8K

    Showing 1–10 of 52

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 52 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    52 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92716123010,700$40$516.5K
    G601588240280$280$157K
    J349016735060$480$54.4K
    7881539460040$460$47.5K
    J25064570310$80$29.5K
    G601232110120$180$28.2K
    G60137014090$180$25.5K
    96413189810150$100$19.7K
    J9217212270110$130$18.4K
    9921410,59632,500110$80$17.6K

    Showing 1–10 of 52

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James UyekiTXMedical Oncology Physician$6.7M$0
    Brennen CheekTXRadiation Oncology Physician$5.9M$0
    Joel LurieTXNurse Practitioner$2.8M$0
    Sreedevi DaggubatiTXHematology & Oncology Physician$2.8M$0
    Robert BerrymanTXMedical Oncology Physician$2.7M$0
    David DspainTXMedical Oncology Physician$2.6M$0
    Darren KocsTXHematology & Oncology Physician$2.5M$0
    Dina TebcheranyTXMedical Oncology Physician$2.5M$0
    Srini ReddyTXHematology & Oncology Physician$2.5M$0
    Thomas GregoryTXMedical Oncology Physician$2.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Busola AmurawaiyeTXFamily Nurse Practitioner$1.7M$0
    Thr/stt Rockwall Asc, LLCTXAmbulatory Surgical Clinic/Center$990.4K$0
    Texas Health Surgery Center Rockwall, LLCTXAmbulatory Surgical Clinic/Center$958.5K$0
    Tulika JainTXCardiovascular Disease Physician$556.2K$0
    Les SandknopTXFamily Medicine Physician$547.9K$0
    Amr MorsyTXInterventional Pain Medicine Physician$524.5K$0
    Sanjay BhambriTXMOHS-Micrographic Surgery Physician$507.3K$0
    Mohammad BurneyTXOrthopaedic Surgery Physician$467.6K$0
    Matthew DicksonTXCardiovascular Disease Physician$385K$0
    Julio Andino-velezTXNeurology Physician$331.2K$0

    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. Texas Distribution
    Scott Seals — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas