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

    NPI 1922199843 · Boca Raton, FL · Specialist

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    Scott Blumenthal is a specialist provider located in Boca Raton, Florida. This profile covers 16 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 Blumenthal
    Address1601 Clint Moore Road
    CityBoca Raton
    StateFL
    ZIP33487
    TaxonomySpecialist
    NPI EnumeratedSeptember 27, 2006

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

    Payer SourceTotal Paid
    Medicare$278.3K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…960$100$92.4K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…260$130$34.4K
    99204The provider sees a new 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 provider…210$120$26.4K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…130$170$21K
    95819Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…50$350$19.1K
    95885The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction studies. The provider performs…210$80$16.9K
    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…230$70$15.7K
    G0427Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth70$150$10.5K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…50$180$8.6K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…70$110$7.5K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,00632,760140$90$25K
    992327,53913,090120$60$17.5K
    958199927040$220$14.4K
    992137,26330,01080$60$12K
    992155698,55040$130$10.7K
    G0427134050$150$8.7K
    959129412030$190$8.2K
    959111924030$160$7.9K
    9581612935040$140$7.9K
    9920467919,04040$110$7K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Truman Medical Center, IncorporatedMOGeneral Acute Care Hospital$0$233.8M
    Truman Medical Center, IncorporatedMOGeneral Acute Care Hospital$0$72.7M
    Truman Medical Center, IncorporatedMOCommunity/Behavioral Health Agency$0$37.8M
    Saint Luke's Physician Group IncMOFamily Medicine Physician$0$15M
    Truman Medical Center, IncorporatedMOOtolaryngology Physician$0$14.1M
    Truman Medical Center IncorporatedMOBody Imaging Physician$0$4.6M
    Truman Medical Center IncorporatedMOCommunity/Behavioral Health Agency$0$4.6M
    David FilsoofCACardiovascular Disease Physician$1.3M$0
    Tariq YousufTXInterventional Cardiology Physician$1.3M$0
    Straight Line ArlaTXPsychiatry Physician$242.4K$1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trusted Home Care Services Nurse RegistryFLHome Health Agency$0$27.9M
    Dialyze Direct Fl LLCFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$16.6M
    Clear Choice Diagnostics IncFLClinical Medical Laboratory$7.6M$380
    Us Path Labs LLCFLClinical Medical Laboratory$2.3M$16.9K
    City Of Boca Raton OfficeFLAmbulance$1.3M$612.7K
    Joshua WeissFLOtolaryngology Physician$619.3K$0
    Ashley BowlesFLFoot & Ankle Surgery Podiatrist$562.7K$0
    David SchwartzwaldFLUrology Physician$557.7K$0
    Jillian FriederFLDermatology Physician$525.8K$0
    Michael AronsohnFLSpecialist$492.9K$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. Florida Distribution
    Scott Blumenthal — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida