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

    NPI 1841217932 · Martinsville, VA · Specialist

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    Scott Oneil is a specialist provider located in Martinsville, Virginia. This profile covers 17 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 Oneil
    Address319 Hospital Dr
    CityMartinsville
    StateVA
    ZIP24112
    TaxonomySpecialist
    NPI EnumeratedJuly 16, 2006

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

    Payer SourceTotal Paid
    Medicare$125.9K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…420$60$26.3K
    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…260$70$18.9K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk90$170$16.1K
    47562The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.20$490$11.7K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…40$200$8.4K
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…40$150$6.4K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk30$170$5.7K
    36830In this procedure, the provider surgically creates an arteriovenous fistula, a connection between an artery and a vein using a nonautogenous graft. This service is done to allow for hemodialysis…10$470$5.6K
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…20$230$4.9K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.60$70$4.7K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538526740070$260$24.7K
    9921411,31112,890140$80$21K
    45384112040$210$12.2K
    992131,17112,44090$60$10K
    4323930639070$110$9.3K
    G01051524030$240$9.2K
    365615111020$330$8.3K
    4756246010$510$7.6K
    G01214719020$250$7.2K
    3683051010$390$5.9K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Danville Regional Medical Center, LLCVARural Acute Care Hospital$0$65.1M
    Danville Regional Medical Center LLCVAGeneral Acute Care Hospital$0$21M
    Keshavpal ReddyNCPsychiatry Physician$146.2K$617K
    Boshra ZakharyVACardiovascular Disease Physician$224.7K$1.3K
    Francis WalshVANeurology Physician$170.8K$22.7K
    David KotlabaVACardiovascular Disease Physician$141.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Piedmont Regional Community Services BoardVACommunity/Behavioral Health Agency$0$93.9M
    New Heights Community Support, LLCVACommunity/Behavioral Health Agency$0$24M
    Resilient Health And Community Support Services, LLCVACommunity/Behavioral Health Agency$0$17.8M
    Life Stages Inc.VAMental Health Clinic/Center (Including Community Mental Health Center)$0$16M
    Trinity Support ServicesVACommunity/Behavioral Health Agency$0$13.6M
    Team Nurse, Inc.VAPersonal Care Attendant$0$10.1M
    Spero Health Of Virginia, LLCVAAddiction Medicine (Family Medicine) Physician$0$9.8M
    Acme Therapies CoVASpeech-Language Pathologist$0$9.1M
    A Nurse's TouchVAIn Home Supportive Care Agency$0$8.1M
    National Counseling Group, IncVAMental Health Counselor$0$7.2M

    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. Virginia Distribution
    Scott Oneil — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia