Scott, James
Scott, James was paid $123K by Medicaid between Jan 2018 and Nov 2018, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
33Billing provider infoSCOTT, JAMES
MARION, VA 24354
MARION, VA 24354
33aNPI1063455871assigned 06/13/2006
33bProvider typeSpecialist
28Total paid$123K
24GClaims3,025
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other Specialist providers in Virginia
Rank by total paid#80 of 231
Median peer was paid$47K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2018 | 3,025 | $123K |
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 | 71% | 1,062 | 891 | $87K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 153 | 135 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 80 | 73 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.2% | 368 | 350 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 61 | 58 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 53 | 49 | $4K |
| 92552 | 2.1% | 100 | 97 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 15 | 15 | $1K |
| 92015 | Determination of refractive state | <1% | 87 | 84 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 65 | 61 | $913.89 |
| 90656 | <1% | 37 | 37 | $683.00 | |
| 90648 | <1% | 39 | 39 | $442.75 |
6 more codes
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.