SCOTT SEXTON, M.D.
Orthopaedic Trauma Physician · ALLENTOWN, PA
Individual Active NPI 1770515520
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 386 | 11,854 | $532,169 | $225,225 | $176,641 |
| 2023 | 320 | 2,777 | $200,235 | $88,031 | $67,408 |
| 2022 | 395 | 1,318 | $561,405 | $206,609 | $162,134 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3111 | Injection, romosozumab-aqqg, 1 mg | 7,980 | $11 | $9 |
| J0897 | Injection, denosumab, 1 mg | 2,700 | $26 | $21 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 192 | $1 | $1 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 98 | $86 | $63 |
| 96372 | Injection of drug or substance under skin or into muscle | 85 | $13 | $10 |
| 73552 | X-ray of thigh bone, minimum 2 views | 58 | $33 | $25 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 56 | $159 | $123 |
| 20610 | Aspiration and/or injection of fluid from large joint | 46 | $71 | $53 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 45 | $120 | $79 |
| 73560 | X-ray of knee, 1-2 views | 45 | $32 | $21 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 44 | $53 | $41 |
| 73030 | X-ray of shoulder, minimum of 2 views | 41 | $32 | $24 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | ✓ | MD431498 | PA |
| Orthopaedic Surgery Physician | 207X00000X | MD431498 | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Orthopaedic Trauma Physician providers in Pennsylvania →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.