Scoma, Michael

Scoma, Michael was paid $6K by Medicaid between Mar 2019 and Sep 2024, across 3 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 65% of everything it billed.

33Billing provider infoSCOMA, MICHAEL
MINEOLA, NY 11501

33aNPI1215167390assigned 07/22/2009

33bProvider typeInfectious Disease Physician

28Total paid$6K

24GClaims2,513

24DCodes billed3

24AFirst – last monthMar 2019 – Sep 2024

Compared with peers

Next to other Infectious Disease Physician providers in New York

Rank by total paid#174 of 333

Median peer was paid$7K

This provider vs. median0.9×

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
2019	126	$1K
2020	144	$764.96
2021	624	$631.05
2022	382	$430.42
2023	356	$2K
2024incomplete	881	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	65%	2,209	370	$4K
99222	Initial hospital care, per day, moderate complexity	31%	254	248	$2K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	4.0%	50	43	$246.04

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.