Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Scott R English MD PA

Scott R English MD PA was paid $46K by Medicaid between Jan 2018 and Sep 2023, across 15 billing codes. Its largest line is 99336, — 49% of everything it billed.

33Billing provider infoSCOTT R ENGLISH MD PA
NORTH MIAMI BEACH, FL 33162
33aNPI1073538187assigned 07/12/2006
28Total paid$46K
24GClaims6,863
24DCodes billed15
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers

Next to other Family Medicine Physician providers in Florida

Rank by total paid#323 of 996
Median peer was paid$13K
This provider vs. median3.5×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2018815$855.42
20191,090$10K
20202,181$18K
20212,336$17K
2022372$0.00
202369$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99336 49% 1,262 844 $23K
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 40% 1,438 1,023 $18K
99335 3.4% 851 507 $2K
99349 3.2% 745 384 $1K
99348 2.9% 1,289 741 $1K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 579 354 $392.85
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 18 12 $21.42
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 0% 263 162 $0.00
36415 Collection of venous blood by venipuncture 0% 170 79 $0.00
93000 0% 28 14 $0.00
99308 Subsequent nursing facility care, per day, straightforward 0% 92 30 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 16 16 $0.00
3 more codes
90674 0% 30 $0.00
G0008 Administration of influenza virus vaccine 0% 29 $0.00
99490 Ccm add 20min 0% 53 $0.00

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.

From NPPES

Who's on the registration

Authorized officialENGLISH, SCOTT (PRESIDENT/PHYSICIAN)