Rainey, Scott

Rainey, Scott was paid $37K by Medicaid between Nov 2020 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider infoRAINEY, SCOTT
PITTSBURGH, PA 15237

33aNPI1053561886assigned 09/29/2008

33bProvider typeOrthopaedic Surgery of the Spine Physician

28Total paid$37K

24GClaims836

24DCodes billed5

24AFirst – last monthNov 2020 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery of the Spine Physician providers in Pennsylvania

Rank by total paid#2 of 7

Median peer was paid$4K

This provider vs. median8.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2020	13	$718.32
2021	159	$7K
2022	175	$8K
2023	186	$8K
2024incomplete	303	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	68%	523	508	$25K
72110		21%	236	234	$8K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	8.4%	38	38	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.0%	26	26	$738.11
72050		1.4%	13	13	$499.24

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.