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    OpenPayerNPI Medicare & MedicaidScripps Health
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    Scripps Health — Billing Profile & Reimbursement Data

    NPI 1942477914 · San Diego, CA · Ambulatory Surgical Clinic/Center

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    Scripps Health is a ambulatory surgical clinic/center provider located in San Diego, California. This profile covers 31 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 TypeOrganization
    OrganizationScripps Health
    Address15004 Innovation Dr
    CitySan Diego
    StateCA
    ZIP92128
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMay 9, 2008

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

    Payer SourceTotal Paid
    Medicare$1.5M
    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64590The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that…10$17,370$191K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.310$610$187.9K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…370$430$158.9K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…200$530$106K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…300$290$87.3K
    C9740Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants10$6,490$77.8K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).210$340$71.4K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.20$4,480$67.2K
    64633In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…100$640$61.7K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…30$2,030$56.9K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    C974081020$6,820$170.4K
    64590193020$7,280$131.1K
    64561173020$2,560$58.8K
    453851631,41060$340$33.9K
    158233019030$640$30.9K
    6448311579060$240$28.5K
    64635448040$460$26.3K
    45380621,46060$230$23.8K
    G02605613050$260$21.6K
    58558265020$1,020$20.4K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Scripps HealthCAGeneral Acute Care Hospital$0$64.2M
    Scripps HealthCAClinical Medical Laboratory$8.9M$301.7K
    Darren SigalCAMedical Oncology Physician$2.9M$0
    Munveer BhangooCAMedical Oncology Physician$2.3M$0
    Scripps HealthCAAmbulatory Surgical Clinic/Center$2.2M$0
    NPI 1063405082——$2.1M$0
    Alan SavenCAHematology & Oncology Physician$1.7M$0
    Michael KostyCAHematology & Oncology Physician$1.5M$0
    Richard AbelloCADiagnostic Radiology Physician$1.5M$0
    Patrick LinsonCARadiation Oncology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratory Corporation Of AmericaCAClinical Medical Laboratory$59.8M$147.2M
    Laboratory Corporation Of AmericaCAClinical Medical Laboratory$1.1M$11.4M
    Phamatech IncorporatedCAClinical Medical Laboratory$812.9K$3.2M
    Scripps Clinic Medical LaboratoriesCAClinical Medical Laboratory$414.6K$490
    Anil PatelCACardiovascular Disease Physician$279.9K$0
    Namee KimCACardiovascular Disease Physician$274K$0
    Malhar PatelCACardiovascular Disease Physician$242.4K$0
    Ryan FrederiksenCADiagnostic Radiology Physician$210.5K$1.6K
    David LeeCADiagnostic Radiology Physician$141K$0
    Tyler AdamsonCASports Medicine (Family Medicine) Physician$129.2K$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. California Distribution
    Scripps Health — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California