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 Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas 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. Texas (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 Wagner (NPI 1841499258)

Field	Value
Entity Type	Individual
Organization	Scott Wagner
Address	3322 Colorado Blvd Ste 101
City	Denton
State	TX
ZIP	76210
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 16, 2007

Payer Source	Total Paid
Medicare	$15.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
35301	The provider removes thrombus and plaques from a carotid, vertebral, or subclavian artery through a neck incision.	40	$110	$4.6K
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…	80	$60	$4.4K
36589	In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump.	20	$90	$1.7K
36833	In this procedure, the provider surgically opens an autogenous or nonautogenous arteriovenous fistula and revises the connection between the artery and the vein. An arteriovenous fistula is a…	20	$80	$1.5K
36830	In 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…	20	$70	$1.4K
36821	The provider creates an arteriovenous (AV) anastomosis by connecting a vein to an artery in any site to provide better vascular access in a patient with kidney failure who will receive hemodialysis…	20	$70	$1.1K
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…	10	$70	$950

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Scott Wagner — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
35301	2	60	20	$720	$15.1K
36821	28	60	20	$460	$9.2K
99213	14,310	29,790	70	$60	$8.4K
36830	9	20	20	$450	$8.1K
36833	2	10	20	$440	$8K
99203	9,406	10,820	30	$70	$3.4K
36589	79	160	20	$120	$2.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edic Stephanian	TX	Vascular Surgery Physician	$253.1K	$0
Daniel Alfson	TX	Vascular Surgery Physician	$209.9K	$0
Carlos Cruz	TX	Vascular Surgery Physician	$175.3K	$0
Elvin Hardy	LA	Gastroenterology Physician	$102K	$0
Fred Lee	TX	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$56.7K	$0
Muhammad Butt	TX	Surgical Oncology Physician	$44.5K	$0
Farshid Araghizadeh	TX	Colon & Rectal Surgery Physician	$34.6K	$0
Angela Mickles	TX	Physician Assistant	$1.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Zelano Healthcare LLC	TX	Home Health Agency	$0	$15.7M
Jeffery Morton	TX	Radiation Oncology Physician	$1.1M	$0
Sarah Weitzul	TX	MOHS-Micrographic Surgery Physician	$753.2K	$0
Jennifer Perone	TX	MOHS-Micrographic Surgery Physician	$734K	$0
Denton Regional Ambulatory Surgery Center, L.P.	TX	Ambulatory Surgical Clinic/Center	$693.8K	$0
Lisa Osbun	TX	Family Nurse Practitioner	$471.6K	$0
Matthew Evans	TX	Clinical Cardiac Electrophysiology Physician	$437.4K	$0
Texas Community Pharmacy Services	TX	Community/Retail Pharmacy	$362.4K	$0
Gang Quan	TX	Gastroenterology Physician	$308K	$0
Kaitlin Blankenship	TX	MOHS-Micrographic Surgery Physician	$302.3K	$0

Scott Wagner — Billing Profile & Reimbursement Data

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

Scott Wagner — Billing Profile & Reimbursement Data

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

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References