Physician
Roustio, Scott
Roustio, Scott was paid $626K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 44% of everything it billed.
33Billing provider infoROUSTIO, SCOTT
O FALLON, IL 62269
O FALLON, IL 62269
33aNPI1215080395assigned 01/19/2007
33bProvider typeEmergency Medicine Physician
28Total paid$626K
24GClaims11,259
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Illinois
Rank by total paid#79 of 1,980
Median peer was paid$150K
This provider vs. median4.2×
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 | 1,772 | $67K | |
| 2019 | 1,664 | $66K | |
| 2020 | 1,472 | $73K | |
| 2021 | 1,539 | $96K | |
| 2022 | 1,826 | $116K | |
| 2023 | 1,720 | $114K | |
| 2024incomplete | 1,266 | $94K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 44% | 3,720 | 3,482 | $274K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 37% | 3,934 | 3,660 | $235K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 15% | 2,776 | 2,547 | $95K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.2% | 813 | 744 | $20K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 16 | 15 | $2K |
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.