NP / PA
Scalise, Paula
Scalise, Paula was paid $1.20M by Medicaid between Nov 2020 and Dec 2024, across 9 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoSCALISE, PAULA
CLARION, PA 16214
CLARION, PA 16214
33aNPI1336579721assigned 11/21/2013
33bProvider typeNurse Practitioner
28Total paid$1.20M
24GClaims13,764
24DCodes billed9
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Pennsylvania
Rank by total paid#6 of 372
Median peer was paid$7K
This provider vs. median174×
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 | |
|---|---|---|---|
| 2020 | 316 | $28K | |
| 2021 | 3,397 | $265K | |
| 2022 | 3,459 | $282K | |
| 2023 | 3,605 | $311K | |
| 2024incomplete | 2,987 | $315K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 5,986 | 5,321 | $1.20M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 252 | 228 | $200.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 274 | 256 | $75.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 4,561 | 4,099 | $37.77 |
| 3008F | 0% | 1,244 | 1,159 | $0.00 | |
| 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 | 0% | 333 | 331 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,051 | 972 | $0.00 |
| 90686 | 0% | 44 | 33 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 19 | 19 | $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.