Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SCOTT J. MISCOVICH MD, LLC

NPI: 1073796868 · KANEOHE, HI 96744 · Family Medicine Physician · NPI assigned 12/14/2007

$692K
Total Medicaid Paid
50,031
Total Claims
41,859
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMANSANAS, RENE (EXECUTIVE VICE PRESIDENT)
NPI Enumeration Date12/14/2007

Related Entities

Other providers sharing the same authorized official: MANSANAS, RENE

ProviderCityStateTotal Paid
WINDWARD URGENT CARE SERVICES, L.L.C KANEOHE HI $675K
PORTNER ORTHOPEDIC REHABILITATION INCORPORATED KANEOHE HI $670K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,600 $142K
2019 11,927 $134K
2020 5,118 $58K
2021 4,499 $67K
2022 4,658 $104K
2023 6,880 $93K
2024 4,349 $94K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,423 16,757 $349K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,520 8,026 $286K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 712 654 $21K
80061 Lipid panel 1,063 990 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 127 108 $5K
83036 Hemoglobin; glycosylated (A1C) 1,138 1,057 $4K
96127 1,975 1,806 $3K
80305 657 537 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 215 199 $3K
99406 541 486 $3K
90688 200 189 $2K
93000 176 160 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 326 307 $1K
99490 Ccm add 20min 363 292 $1K
82962 972 884 $1K
99496 14 13 $1K
86580 76 67 $282.70
97750 92 75 $276.48
99441 77 72 $226.70
82044 89 86 $216.13
90658 17 17 $214.32
81002 167 146 $174.70
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 14 $132.07
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 20 18 $124.03
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15 15 $109.67
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 44 37 $87.55
99173 38 34 $7.86
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,815 1,599 $0.41
G9902 Patient screened for tobacco use and identified as a tobacco user 829 742 $0.14
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 905 807 $0.14
3074F 228 196 $0.13
3078F 178 148 $0.08
3079F 142 123 $0.07
G9275 Documentation that patient is a current non-tobacco user 1,069 955 $0.06
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,200 1,925 $0.06
3075F 80 68 $0.04
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,240 1,100 $0.04
1036F 947 847 $0.03
3044F 154 150 $0.03
1100F 51 39 $0.00
G9458 Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user 107 101 $0.00
3045F 13 13 $0.00