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 South Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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 Ball (NPI 1992123913)

Field	Value
Entity Type	Individual
Organization	Scott Ball
Address	1100 E 26th St
City	Sioux Falls
State	SD
ZIP	57105
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	April 7, 2014

Payer Source	Total Paid
Medicare	$9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	30	$120	$3.7K
01214	The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.	30	$120	$3.3K
01400	The provider performs anesthesia services for a patient undergoing an open or arthroscopic procedure on the knee joint.	10	$60	$780
01480	The provider performs anesthesia services for a patient undergoing an open procedure on the bones of the lower leg, ankle, and foot.	10	$70	$760
01810	The provider performs anesthesia services for a patient undergoing any procedures on the nerves, muscles, tendons, fascia, and bursae of the forearm, wrist, and hand.	10	$50	$520

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Scott Ball — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01402	33	110	20	$150	$3.9K
01214	3	50	20	$140	$2.7K
01480	45	50	20	$80	$1.2K
01810	38	40	10	$60	$980
01400	3	10	10	$60	$820

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trinity Health	ND	Multi-Specialty Clinic/Center	$0	$18.7M
Trinity Hospitals	ND	General Acute Care Hospital	$0	$7.4M
Trinity Hospitals	ND	Land Ambulance	$0	$3.5M
Anesthesiology Associates, Inc.	SD	Specialist	$0	$2.3M
Mark Raymond	ND	Ophthalmology Physician	$1.7M	$0
Sioux Falls Specialty Hospital, LLP	SD	Special Hospital	$0	$1.3M
Dunes Anesthesia PC	SD	Pain Medicine (Anesthesiology) Physician	$0	$1.1M
Trinity Hospitals	ND	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$754.6K
James Sullivan	MN	Diagnostic Radiology Physician	$589.8K	$0
Chad Wolsky	ND	Ophthalmology Physician	$504K	$0

Scott Ball — Billing Profile & Reimbursement Data

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

Scott Ball — Billing Profile & Reimbursement Data

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

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References