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    OpenPayerNPI Medicare & MedicaidScott Peplinski
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    Scott Peplinski — Billing Profile & Reimbursement Data

    NPI 1861456444 · New Hartford, NY · Diagnostic Radiology Physician

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    Scott Peplinski is a diagnostic radiology physician provider located in New Hartford, New York. This profile covers 69 Medicare and 3 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)

    FieldValue
    Entity TypeIndividual
    OrganizationScott Peplinski
    Address8 Gilbert Rd
    CityNew Hartford
    StateNY
    ZIP13413
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedApril 12, 2006

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

    Payer SourceTotal Paid
    Medicare$481.6K
    Medicaid$14.2K

    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.

    69 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.…60$1,180$72K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…550$120$66.6K
    A9596Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie70$840$58.8K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…530$50$26.8K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries50$410$20.3K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…840$20$18.5K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.210$70$15.6K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…400$40$14.3K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.160$90$13.5K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.70$200$13.5K

    Showing 1–10 of 69

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 69 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    69 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7881519233080$690$116.6K
    A9596101090$850$76.3K
    A955211320060$350$42.8K
    77067205780290$90$41.7K
    77063202750280$40$18.9K
    7055356259070$160$17.5K
    7418340350050$180$17.2K
    741778521,350110$100$14.8K
    76641570630110$80$14.6K
    938809521,73050$140$14.5K

    Showing 1–10 of 69

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…1,310$10$11.8K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.110$10$1.3K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.80$10$670

    Medicaid: Competitive Analysis & Benchmarks

    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

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…3641,510230$10$28.7K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.439690190$20$18.3K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.268470180$10$11.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Guthrie Medical Group, P.C.PAGeneral Practice Physician$0$82.1M
    Kaleida HealthNYGeneral Acute Care Hospital$0$80.7M
    Slocum Dickson Medical Group PLLCNYClinic/Center$0$53.9M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Kaleida HealthNYGeneral Acute Care Hospital$0$30.9M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Kaleida HealthNYGeneral Acute Care Hospital$0$22M
    Singleton Associates PATXDiagnostic Radiology Physician$0$16.2M
    Virtual Radiologic Professionals, LLCMNDiagnostic Radiology Physician$0$11.3M
    Mark LeFLDiagnostic Radiology Physician$10.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joseph GaleNYOphthalmology Physician$2.4M$213.6K
    Manzurul SikderNYHematology & Oncology Physician$2.3M$91.6K
    Steven WilliamsNYOphthalmology Physician$1.9M$161.1K
    Aziz Basem Nicholas QandahNYNeurological Surgery Physician$859.6K$132.5K
    Sultana RaziaNYHematology & Oncology Physician$806.2K$89.9K
    Dayal RajaNYEndocrinology, Diabetes & Metabolism Physician$579.1K$119.2K
    Dana ZacharewiczNYDiagnostic Ultrasound Physician$514.1K$15.3K
    Nathaniel GouldNYPhysical Medicine & Rehabilitation Physician$402.5K$76.1K
    Daniel WelchonsNYUrology Physician$435.9K$5.8K
    Mohsin SyedNYInternal Medicine Physician$227.5K$141.1K

    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. New York Distribution
    Scott Peplinski — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Scott Peplinski — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York