Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SCALISE, PAULA

NPI: 1336579721 · CLARION, PA 16214 · Nurse Practitioner · NPI assigned 11/21/2013

$1.20M
Total Medicaid Paid
13,764
Total Claims
12,418
Beneficiaries
9
Codes Billed
2020-11
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 316 $28K
2021 3,397 $265K
2022 3,459 $282K
2023 3,605 $311K
2024 2,987 $315K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 5,986 5,321 $1.20M
G0467 Federally 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 252 228 $200.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 274 256 $75.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,561 4,099 $37.77
3008F 1,244 1,159 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 333 331 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,051 972 $0.00
90686 44 33 $0.00
36415 Collection of venous blood by venipuncture 19 19 $0.00