Physician
Scholer, Seth
Scholer, Seth was paid $532K by Medicaid between Jan 2018 and Dec 2020, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoSCHOLER, SETH
NASHVILLE, TN 37232
NASHVILLE, TN 37232
33aNPI1346332764assigned 09/30/2006
33bProvider typePediatrics Physician
28Total paid$532K
24GClaims22,332
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#100 of 333
Median peer was paid$139K
This provider vs. median3.8×
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 | 7,563 | $176K | |
| 2019 | 9,406 | $202K | |
| 2020 | 5,363 | $154K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 2,723 | 2,558 | $122K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 1,427 | 1,044 | $73K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 1,130 | 928 | $73K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 779 | 692 | $56K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.2% | 2,262 | 1,856 | $44K |
| 99238 | Hospital discharge day management, 30 minutes or less | 6.3% | 601 | 503 | $34K |
| 99460 | 5.5% | 465 | 378 | $29K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.4% | 3,127 | 2,608 | $29K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.8% | 1,642 | 1,276 | $20K |
| 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 | 3.8% | 305 | 278 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 444 | 351 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 114 | 108 | $9K |
23 more codes
| 90474 | <1% | 536 | $3K | |
| 99462 | <1% | 100 | $3K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 56 | $3K |
| 96127 | <1% | 323 | $1K | |
| 99173 | <1% | 205 | $1K | |
| 99177 | <1% | 160 | $972.95 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 16 | $332.25 |
| 96161 | <1% | 760 | $102.28 | |
| 90633 | 0% | 284 | $0.00 | |
| 90670 | 0% | 914 | $0.00 | |
| 90685 | 0% | 299 | $0.00 | |
| 90700 | 0% | 38 | $0.00 | |
| 90648 | 0% | 103 | $0.00 | |
| 90461 | 0% | 13 | $0.00 | |
| 90707 | 0% | 203 | $0.00 | |
| 90723 | 0% | 419 | $0.00 | |
| 90688 | 0% | 508 | $0.00 | |
| 90647 | 0% | 571 | $0.00 | |
| 90680 | 0% | 565 | $0.00 | |
| 90686 | 0% | 979 | $0.00 | |
| 90651 | 0% | 51 | $0.00 | |
| 90716 | 0% | 193 | $0.00 | |
| 90696 | 0% | 17 | $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.