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    OpenPayerNPI Medicare & MedicaidKevin Scott
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    Kevin Scott — Billing Profile & Reimbursement Data

    NPI 1962476713 · Fairfax, VA · Ophthalmology Physician

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    Kevin Scott is a ophthalmology physician provider located in Fairfax, Virginia. This profile covers 19 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
    OrganizationKevin Scott
    Address3700 Joseph Siewick Dr
    CityFairfax
    StateVA
    ZIP22033
    TaxonomyOphthalmology Physician
    NPI EnumeratedFebruary 16, 2006

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

    Payer SourceTotal Paid
    Medicare$259.9K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…60$750$44K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…410$80$31.1K
    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…330$90$29.1K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.110$250$27.7K
    67908The provider performs a procedure such as the Fasanella–Servat procedure, which involves resection and plication of the levator/Muller muscles along with the tarsus and the conjunctiva to treat…50$470$22K
    J0585Injection, onabotulinumtoxina, 1 unit3,710$10$18.6K
    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…140$100$14.7K
    67924During this procedure, the provider performs an extensive repair of an entropion, which is an inward turning of the lower eyelid and eyelashes toward the eye, which can lead to excessive tearing and…30$420$11.3K
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.500$20$10K
    67917During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…20$410$8.3K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J058545606,400$1$51.9K
    15823113050$530$34.5K
    6790811050$470$22K
    992146,28412,890140$80$21K
    920125343080$60$11.9K
    6791761020$480$11.2K
    6832031020$490$10.8K
    6792411020$470$9.4K
    6461292050$130$8.8K
    6784022030$210$8.8K

    Showing 1–10 of 19

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inova Health Care ServicesVAGeneral Acute Care Hospital$0$33.5M
    Trusted Doctors LLCVAPediatrics Physician$0$13.6M
    Apollo Home Healthcare LLCVAHome Health Agency$0$12.2M
    Daniel ChongVAHematology & Oncology Physician$1.1M$0
    Northern Virginia Surgery Center LLCVAAmbulatory Surgical Clinic/Center$953.6K$54.4K
    Metropolitan Laboratory Services IncVAClinical Medical Laboratory$878.7K$63.4K
    Jeffrey ScottVAMOHS-Micrographic Surgery Physician$875.4K$0
    Malgorzata GradzkaVARheumatology Physician$764.7K$0
    Bradley BoydVAOrthopaedic Surgery Physician$573.8K$0
    Mitchell StashowerVASpecialist$379.6K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Kevin Scott — 6 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia