Physician
Scott J. Miscovich MD, LLC
Scott J. Miscovich MD, LLC was paid $692K by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoSCOTT J. MISCOVICH MD, LLC
KANEOHE, HI 96744
KANEOHE, HI 96744
33aNPI1073796868assigned 12/14/2007
33bProvider typeFamily Medicine Physician
28Total paid$692K
24GClaims50,031
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Hawaii
Rank by total paid#3 of 81
Median peer was paid$24K
This provider vs. median29×
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 | 12,600 | $142K | |
| 2019 | 11,927 | $134K | |
| 2020 | 5,118 | $58K | |
| 2021 | 4,499 | $67K | |
| 2022 | 4,658 | $104K | |
| 2023 | 6,880 | $93K | |
| 2024incomplete | 4,349 | $94K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 50% | 21,423 | 16,757 | $349K |
| 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 | 41% | 9,520 | 8,026 | $286K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 712 | 654 | $21K |
| 80061 | Lipid panel | <1% | 1,063 | 990 | $5K |
| 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 | <1% | 127 | 108 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,138 | 1,057 | $4K |
| 96127 | <1% | 1,975 | 1,806 | $3K | |
| 80305 | <1% | 657 | 537 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 215 | 199 | $3K |
| 99406 | <1% | 541 | 486 | $3K | |
| 90688 | <1% | 200 | 189 | $2K | |
| 93000 | <1% | 176 | 160 | $2K |
30 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 326 | $1K |
| 99490 | Ccm add 20min | <1% | 363 | $1K |
| 82962 | <1% | 972 | $1K | |
| 99496 | <1% | 14 | $1K | |
| 86580 | <1% | 76 | $282.70 | |
| 97750 | <1% | 92 | $276.48 | |
| 99441 | <1% | 77 | $226.70 | |
| 82044 | <1% | 89 | $216.13 | |
| 90658 | <1% | 17 | $214.32 | |
| 81002 | <1% | 167 | $174.70 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $132.07 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 20 | $124.03 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 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) | <1% | 44 | $87.55 |
| 99173 | <1% | 38 | $7.86 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 1,815 | $0.41 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | <1% | 829 | $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) | <1% | 905 | $0.14 |
| 3074F | <1% | 228 | $0.13 | |
| 3078F | <1% | 178 | $0.08 | |
| 3079F | <1% | 142 | $0.07 | |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 1,069 | $0.06 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,200 | $0.06 |
| 3075F | <1% | 80 | $0.04 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,240 | $0.04 |
| 1036F | <1% | 947 | $0.03 | |
| 3044F | <1% | 154 | $0.03 | |
| 1100F | 0% | 51 | $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 | 0% | 107 | $0.00 |
| 3045F | 0% | 13 | $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 officialMANSANAS, RENE (EXECUTIVE VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Windward Urgent Care Services, L.L.C | Kaneohe, HI | $675K |
| Portner Orthopedic Rehabilitation Incorporated | Kaneohe, HI | $670K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.