Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › DE › Milton › NPI 1194870832
Physician

Lowell F Scott JR MD PA

Lowell F Scott JR MD PA was paid $973K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.

33Billing provider infoLOWELL F SCOTT JR MD PA
MILTON, DE 19968
33aNPI1194870832assigned 01/24/2007
33bProvider typePediatrics Physician
28Total paid$973K
24GClaims33,067
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Delaware

Rank by total paid#14 of 39
Median peer was paid$418K
This provider vs. median2.3×

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$20K$40K2018201920202021202220232024
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
20187,515$6K
20196,855$80K
20205,419$263K
20214,602$234K
20225,064$231K
20233,511$152K
2024incomplete101$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 5,839 5,381 $274K
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 22% 4,021 3,730 $217K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12% 1,786 1,726 $116K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10% 1,638 1,578 $100K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 9.8% 1,298 1,258 $95K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7.1% 1,254 1,138 $69K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3.4% 3,787 3,406 $33K
90686 1.3% 788 765 $13K
90670 1.2% 989 946 $12K
90698 1.2% 974 931 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,189 2,955 $9K
90680 <1% 458 437 $5K
14 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 488 $4K
90633 <1% 255 $4K
90651 <1% 233 $3K
96127 <1% 429 $2K
90734 <1% 214 $2K
90710 <1% 207 $2K
90744 <1% 123 $832.59
90619 <1% 12 $228.86
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 13 $222.09
87807 <1% 105 $157.71
90460 Immunization administration through 18 years of age via any route, first or only component 0% 4,486 $0.00
90461 0% 441 $0.00
90685 0% 19 $0.00
99000 0% 21 $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 officialSCOTT, LOWELL (PRESIDENT)