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 Armed Forces Pacific for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Pacific 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. Armed Forces Pacific (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.

Scott Naples (NPI 1942627708)

Field	Value
Entity Type	Individual
Organization	Scott Naples
Address	Psc 475 Box 1
City	Fpo
State	AP (Armed Forces Pacific)
ZIP	96350
Taxonomy	Medical Physician Assistant
NPI Enumerated	March 18, 2014

Payer Source	Total Paid
Medicare	$7.5K
Medicaid	$0

Key Findings

The provider’s Medicare billing is almost entirely composed of emergency department evaluation and management services: the top codes billed are 99284 (ED E/M, moderate MDM), 99285 (ED E/M, high MDM), and 99283 (ED E/M, low MDM), with claim-level volumes of 46, 25, and 22 respectively and average paid/claim of $77, $117, and $48 as reported. This mix is consistent with a clinician working in an ED setting or providing urgent/emergent care, seeing a range of acuity from low to high medical decision making.

Revenue concentration is highly focused: the precomputed top-3 Medicare codes account for 100.0% of this provider’s total Medicare revenue, with those codes contributing $3.5K (47.1%), $2.9K (38.9%), and $1.1K (14.0%) respectively. This indicates that virtually all Medicare dollars for this NPI derive from a narrow set of ED E/M services rather than a broader mix of procedures or outpatient visits.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $7.5K while there is no Medicaid billing on file. The absence of Medicaid activity implies limited or no participation in that program under this NPI and a business profile that is financially concentrated in Medicare for public-payer reimbursement.

Competitive standing on these codes is modest rather than dominant: 99284 ranks #39376 of 64306 nationally (38th percentile) and is described as "typical, unremarkable volume for this code," 99285 ranks #53224 of 61347 (12th percentile) and is also labeled "typical, unremarkable volume for this code," and 99283 ranks #14750 of 31069 (50th percentile) with the same characterization. These percentile positions and labels indicate this provider is a routine, modest participant nationally on these ED E/M codes rather than a high-volume outlier or market leader.

The billing footprint is small in absolute dollar terms: reported Medicare revenue totals $7.5K, with the largest single-code revenue at $3.5K (99284) and the smallest at $1.1K (99283). Combined with the per-code claim counts (46, 25, 22), this suggests low overall Medicare throughput at this NPI, compatible with a part-time, locum, or limited-scope practice pattern rather than a high-volume ED group.

Statistical labels supplied for each top code uniformly characterize volumes as "typical, unremarkable volume for this code," and none of the top codes are flagged as extreme outliers in the dataset. In plain terms, the provider’s reported Medicare activity aligns with expected practice patterns for ED E/M services and does not display anomalous volume behavior relative to national peers.

The NPI has been enumerated since 2014-03-18 (~12 years ago), indicating an established enrollment in Medicare over a long period despite the modest billing levels shown. Tenure with low billing suggests sustained but limited billing activity rather than recent entry or rapid growth in claims-based revenue.

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
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	50	$80	$3.5K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	30	$120	$2.9K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	$50	$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. Note: this provider's state, "AP," is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Pacific Distribution

Scott Naples — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Pacific

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	7	10	40	$150	$15.7K
99284	4	10	50	$100	$7.4K
99283	4	10	40	$60	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Mid-ohio Emergency Services, LLC	OH	Emergency Medicine Physician	$0	$38.5M
Chontelle Degler	NH	Emergency Medicine Physician	$89.6K	$0
Eric Dahl	AE (Armed Forces Europe)	General Practice Physician	$44.8K	$0
Douglas Mccoy	SC	Family Nurse Practitioner	$34.1K	$0
Thomas Morse	OH	General Practice Physician	$10.4K	$0
Wynneerann Barnhart	OH	Physician Assistant	$4.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephanie Winslow	AP (Armed Forces Pacific)	Emergency Medicine Physician	$23.3K	$69.6K
Rose-valentine Goncalves	AP (Armed Forces Pacific)	Emergency Medicine Physician	$92.8K	$0
Mark Boone	AP (Armed Forces Pacific)	Pediatric Dentistry	$0	$13.4K
Seung Young Huh	AP (Armed Forces Pacific)	Emergency Medicine Physician	$13.1K	$0
Lauren Cruz	AP (Armed Forces Pacific)	Physical Therapist	$6.3K	$0

Scott Naples — Billing Profile & Reimbursement Data

Sign up for Scott Naples — Billing Profile & Reimbursement Data policy alerts

Scott Naples — Billing Profile & Reimbursement Data

Sign up for Scott Naples — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References