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

    NPI 1881785749 · Tuscaloosa, AL · Internal Medicine Physician

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    Scott Fulgham is a internal medicine physician provider located in Tuscaloosa, Alabama. This profile covers 49 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 Fulgham
    Address1100 Ruby Tyler Pkwy
    CityTuscaloosa
    StateAL
    ZIP35404
    TaxonomyInternal Medicine Physician
    NPI EnumeratedSeptember 27, 2006

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

    Payer SourceTotal Paid
    Medicare$280.5K
    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.

    49 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit400$120$47.5K
    99214The 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…580$80$46.7K
    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…600$60$35.3K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…420$50$19.2K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.910$10$11.8K
    84443The 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…670$20$10.7K
    80053The 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.1,040$10$10.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,180$10$8.3K
    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…340$20$7.2K
    G0444Annual depression screening, 5 to 15 minutes400$20$6.8K

    Showing 1–10 of 49

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 49 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    49 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8030777120170$60$19.7K
    992146277,330120$80$16.8K
    8230621034060$30$16K
    99308238350170$50$15.4K
    9949073350150$40$14.1K
    8005346670140$10$13.1K
    844432556090$20$12.2K
    8006113590120$10$12.1K
    G0439111,52070$120$11K
    993068012050$130$8K

    Showing 1–10 of 49

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Dch Healthcare AuthorityALGeneral Acute Care Hospital$0$16M
    George HemstreetALInterventional Cardiology Physician$935.1K$0
    Terrence ChambersINDiagnostic Radiology Physician$152.4K$700.7K
    Edward CarrawayALInterventional Cardiology Physician$712.5K$0
    Sakina KamalALCardiovascular Disease Physician$531.4K$0
    James BarnettALPhysical Medicine & Rehabilitation Physician$424.2K$0
    John WarrenALInternal Medicine Physician$356.4K$0
    Ross VaughnALInternal Medicine Physician$344.2K$0
    James ProctorALInterventional Cardiology Physician$340.8K$0
    Charles AbneyALFamily Medicine Physician$322.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tuscaloosa Pediatric Dentistry, P.C.ALPediatric Dentistry$0$5.7M
    New Hope LLCALOccupational Therapist$0$4.2M
    Univiversity Oral And Facial Surgery, P.C.ALOral and Maxillofacial Surgery (Dentist)$0$1.7M
    Crimson Urgent Care, LLCALFamily Medicine Physician$0$1.5M
    Hospice Of West Alabama, Inc.ALCommunity Based Hospice Care Agency$0$1.4M
    Pinnacle Physician Group, LLPALHospitalist Physician$0$1M
    Timothy JohnsonALSpecialist$411.8K$0
    John MillerALInternal Medicine Physician$267.9K$0
    Ernest JohnsonALSpecialist$242.4K$0
    Thomas DavisALOphthalmology Physician$214.5K$0

    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. Alabama Distribution
    Scott Fulgham — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama