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

Why is the Medicaid comparison limited to Florida 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. Florida (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.

Lawrence Scalzo (NPI 1881655561)

Field	Value
Entity Type	Individual
Organization	Lawrence Scalzo
Address	334 Jack Dr
City	Cocoa Beach
State	FL
ZIP	32931
Taxonomy	Family Medicine Physician
NPI Enumerated	March 31, 2006

Payer Source	Total Paid
Medicare	$54.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99442	N/A	560	$50	$29.8K
99443	N/A	310	$80	$23.5K
99441	N/A	40	$30	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Lawrence Scalzo — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99443	13	620	30	$90	$4.9K
99442	10	970	20	$60	$3.5K
99441	189	540	30	$30	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Creghan	FL	Medical Physician Assistant	$69.9K	$0
Gemma Villapando	FL	Family Nurse Practitioner	$52.8K	$0
Anthony Young	LA	Medical Physician Assistant	$52.7K	$0
Pierce Arnold	IN	Family Medicine Physician	$49.4K	$0
Susan Hatfield	OH	Medical Physician Assistant	$47.5K	$0
Nicole Grove	NH	Family Nurse Practitioner	$31.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shivani Patel	FL	Physician Assistant	$296K	$0
Wu Zhuge	FL	Orthopaedic Surgery of the Spine Physician	$232.9K	$0
Aashish Gupta	FL	Vascular Surgery Physician	$230.1K	$0
Michael Nichols	FL	Physical Therapist	$229.2K	$0
Bonnie Fox	FL	Physician Assistant	$211.8K	$0
David Hilleren	FL	Diagnostic Radiology Physician	$197.3K	$0
Anthony Moreno	FL	Medical Physician Assistant	$188.5K	$0
Mark Callenberger	FL	Orthopaedic Surgery Physician	$122K	$0
Aaron Hattaway	FL	Diagnostic Radiology Physician	$74.8K	$0
Pardeep Bansal	FL	Gastroenterology Physician	$54.6K	$0

Lawrence Scalzo — Billing Profile & Reimbursement Data

Sign up for Lawrence Scalzo — Billing Profile & Reimbursement Data policy alerts

Lawrence Scalzo — Billing Profile & Reimbursement Data

Sign up for Lawrence Scalzo — 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