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    OpenPayerNPI Medicare & MedicaidScott Paladichuk
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    Scott Paladichuk — Billing Profile & Reimbursement Data

    NPI 1962649657 · Hattiesburg, MS · Optometrist

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    Scott Paladichuk is a optometrist provider located in Hattiesburg, Mississippi. This profile covers 11 Medicare and 7 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 Paladichuk
    Address100 Hospital Dr W
    CityHattiesburg
    StateMS
    ZIP39402
    TaxonomyOptometrist
    NPI EnumeratedJanuary 16, 2009

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

    Payer SourceTotal Paid
    Medicaid$98.4K
    Medicare$62.2K

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…280$80$22.1K
    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…330$60$19.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.80$90$6.7K
    68761The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.50$140$6.3K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…90$30$2.4K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.50$30$1.3K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…40$30$930
    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…10$70$780
    92071The provider applies soft contact lens on the cornea to treat ocular surface disease.30$30$780
    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…10$50$650

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014116350170$70$23K
    992136904,000100$50$10.3K
    9201221822090$50$9.9K
    68761123030$140$7.7K
    9213417028080$30$7.3K
    9200410733050$90$6.3K
    992031,3921,48030$60$3.5K
    9225010524080$20$3.4K
    9213317228050$20$2.2K
    9207141030$30$830

    Showing 1–10 of 11

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…430$70$30.7K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.1,310$20$28.8K
    V2020Frames, purchases560$30$18K
    92002The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.180$60$10.7K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens280$20$5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.60$80$4.7K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens40$20$980

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Mississippi median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.259350180$90$53.3K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.202500910$20$39.1K
    V2020Frames, purchases261450740$30$37.3K
    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…104310240$50$25.4K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens235290310$30$19.1K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens150300270$20$15.2K
    92002The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.4414060$60$13.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Childrens Hospital Of Wisconsin, Inc.WIPediatrics Physician$0$19M
    Children's HospitalLASpecialist$0$9.8M
    Adam QuinnMSOphthalmology Physician$620.3K$0
    Charles RichardsonMSOphthalmology Physician$575.5K$0
    Todd WilliamsonMSOphthalmology Physician$543.8K$0
    Ted HardenMSOptometrist$93.5K$293.3K
    Benjamin PaceMSOphthalmology Physician$259.9K$0
    Sarah QueckMSOphthalmology Physician$83.5K$260

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wesley Health System LLCMSGeneral Acute Care Hospital$0$37.9M
    Aaa Ambulance ServiceMSLand Ambulance$5.2M$20.1M
    Wright LautenMSRetina Specialist (Ophthalmology) Physician$11.8M$20.3K
    Middleton & Belknap Pediatric Dentistry PLLCMSPediatric Dentistry$0$11.3M
    Hattiesburg Clinic PAMSPediatrics Physician$0$10.9M
    Metro Medical Supply Company LLCMSDurable Medical Equipment & Medical Supplies$0$10.2M
    Hattiesburg Road Dental, P.C.MSGeneral Practice Dentistry$0$10.1M
    Wesley Physician Services LLCMSFamily Medicine Physician$0$8.2M
    Latonya HailesMSCommunity Health Worker$0$8M
    Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.A.MSOral and Maxillofacial Surgery (Dentist)$0$7.4M

    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. Mississippi Distribution
    Scott Paladichuk — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi
    Medicaid Revenue by Year vs. Mississippi Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Scott Paladichuk — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi