Physician
Scanlon, Matthew
Scanlon, Matthew was paid $98K by Medicaid between Jul 2022 and Nov 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 54% of everything it billed.
33Billing provider infoSCANLON, MATTHEW
CINCINNATI, OH 45219
CINCINNATI, OH 45219
33aNPI1265894216assigned 03/28/2016
33bProvider typeEmergency Medicine Physician
28Total paid$98K
24GClaims1,598
24DCodes billed5
24AFirst – last monthJul 2022 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Ohio
Rank by total paid#100 of 368
Median peer was paid$13K
This provider vs. median7.6×
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 | |
|---|---|---|---|
| 2022 | 351 | $14K | |
| 2023 | 720 | $45K | |
| 2024incomplete | 527 | $38K |
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 | 54% | 640 | 627 | $53K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 39% | 551 | 539 | $38K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 120 | 115 | $5K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.7% | 272 | 271 | $2K |
| 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 | 1.0% | 15 | 13 | $1K |
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.