Loading...
NPI 1811936081 · Carthage, NY · Internal Medicine Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Scott Mitchell is a internal medicine physician provider located in Carthage, New York. This profile covers 17 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Scott Mitchell |
| Address | 3 Bridge Street |
| City | Carthage |
| State | NY |
| ZIP | 13619 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | June 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $175.7K |
| Medicaid | $31.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 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… | 1,540 | $80 | $120.4K |
| 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… | 550 | $60 | $33.4K |
| G0008 | Administration of influenza virus vaccine | 200 | $30 | $5.9K |
| 90688 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose. | 210 | $20 | $4.1K |
| 90732 | The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that… | 20 | $120 | $2.3K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 180 | $10 | $1.8K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 130 | $10 | $1.7K |
| 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 | $80 | $940 |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 110 | $10 | $860 |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 50 | $20 | $850 |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 215 | 30,450 | 90 | $100 | $19K |
| 99213 | 2,106 | 31,440 | 80 | $70 | $12.1K |
| 11102 | 1,249 | 1,270 | 80 | $80 | $11.1K |
| 84443 | 957 | 1,510 | 90 | $20 | $7.9K |
| 80061 | 664 | 1,460 | 120 | $10 | $7.3K |
| 80053 | 784 | 1,970 | 120 | $10 | $6.9K |
| 85025 | 1,118 | 2,140 | 120 | $10 | $4.8K |
| 83036 | 835 | 2,080 | 50 | $10 | $3K |
| G0008 | 746 | 7,140 | 50 | $30 | $2.8K |
| 90732 | 79 | 270 | 20 | $130 | $2.5K |
Showing 1–10 of 17
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 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… | 1,370 | $20 | $31.5K |
| 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… | 20 | $20 | $290 |
| 1036F | N/A | 370 | $0 | $0 |
| 3017F | Colorectal cancer screening includes radiologic, endoscopic, and laboratory tests to assess the colon, or lower part of the large intestine, and the rectum for cancer in individuals at age 50 or… | 150 | $0 | $0 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 50 | $0 | $0 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 20 | $0 | $0 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 1,000 | $0 | $0 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 370 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 16,997 | 19,110 | 360 | $70 | $321K |
| 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… | 3,321 | 16,550 | 220 | $90 | $186.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 4,055 | 5,090 | 450 | $10 | $35.9K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 444 | 2,000 | 210 | $1 | $90 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 152 | 450 | 150 | $1 | $50 |
| 1036F | N/A | 613 | 1,770 | 150 | $1 | $50 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 1,023 | 1,160 | 300 | $1 | $30 |
| 3017F | Colorectal cancer screening includes radiologic, endoscopic, and laboratory tests to assess the colon, or lower part of the large intestine, and the rectum for cancer in individuals at age 50 or… | 123 | 310 | 100 | $1 | $1 |
Other providers in the same ZIP code as Scott Mitchell, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mirza Ashraf | NY | Cardiovascular Disease Physician | $162K | $134.5K |
| Christopher Mccartney | NY | Certified Registered Nurse Anesthetist | $25.8K | $0 |
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.