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    Scott Hall — Billing Profile & Reimbursement Data

    NPI 1922352855 · Grand Junction, CO · Physician Assistant

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    Scott Hall is a physician assistant provider located in Grand Junction, Colorado. This profile covers 9 Medicare and 2 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 Hall
    Address2515 Foresight Cir Unit 200
    CityGrand Junction
    StateCO
    ZIP81505
    TaxonomyPhysician Assistant
    NPI EnumeratedOctober 30, 2012

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

    Payer SourceTotal Paid
    Medicare$21.3K
    Medicaid$3.8K

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…180$50$9.5K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.150$30$3.6K
    30901The provider uses a simple or limited approach to stop a nosebleed caused by a vessel in the front area of the nose.30$110$2.6K
    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…30$80$1.9K
    99203The 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…40$50$1.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$40$610
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…20$30$500
    G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing20$30$450
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…10$1$20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146,7998,16080$80$11.3K
    992131,3867,20070$60$6.6K
    992031,0202,65030$70$3.1K
    3090152020$120$2.2K
    9923144250030$40$2K
    992121,1201,53030$40$2K
    692102122030$30$1.7K
    G0268233030$40$1.2K
    810031,0841,10030$1$160

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99203The 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…30$110$3.1K
    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…10$50$760

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Colorado median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,3782,520330$100$352K
    99203The 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…674880110$80$64.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Primary Care Partners, Inc.COFamily Medicine Physician$0$17.1M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Johnathan HaysVADiagnostic Radiology Physician$275K$32K
    Daniel SullivanCOFamily Medicine Physician$215.4K$0
    Rachael KappiusCODermatology Physician$203.5K$1.4K
    Andrew MohlerCOFamily Medicine Physician$186.9K$0
    Thomas CateCOInternal Medicine Physician$148K$7.1K
    John FlanaganCOFamily Medicine Physician$134.7K$0
    Conor SenecalWACardiovascular Disease Physician$122.9K$0
    Raminder Dhillon-acostaCODiagnostic Radiology Physician$120.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Grand Junction Regional CenterCODevelopmentally Disabled Services Day Training Agency$0$42.3M
    Colorado West Healthcare SystemCOGeneral Acute Care Hospital$0$12.8M
    Senior Care Service LLCCODurable Medical Equipment & Medical Supplies$0$9M
    Pediatric Dental Specialists Of Western CoCOPediatric Dentistry$0$6.7M
    K2taxi, LLCCOTaxi$0$4.6M
    Gj West Dental Prof LLCCOGeneral Practice Dentistry$0$4.3M
    Endoscopy Center Of Western Colorado IncCOAmbulatory Surgical Clinic/Center$549.2K$261.6K
    Canyon View Asc, LLCCOAmbulatory Surgical Clinic/Center$438.3K$14.9K
    William WaterhouseCOOphthalmology Physician$357.3K$24.4K
    Kristin SperleCONurse Practitioner$364.2K$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. Colorado Distribution
    Scott Hall — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado
    Medicaid Revenue by Year vs. Colorado Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Colorado Distribution
    Scott Hall — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado