Physician
Carlson, Scott
Carlson, Scott was paid $440K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoCARLSON, SCOTT
WASHINGTON, IL 61571
WASHINGTON, IL 61571
33aNPI1386726255assigned 10/20/2006
33bProvider typePediatrics Physician
28Total paid$440K
24GClaims9,218
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#327 of 1,805
Median peer was paid$55K
This provider vs. median8.0×
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 | 1,790 | $81K | |
| 2019 | 2,000 | $92K | |
| 2020 | 1,339 | $55K | |
| 2021 | 1,571 | $72K | |
| 2022 | 867 | $48K | |
| 2023 | 875 | $47K | |
| 2024incomplete | 776 | $44K |
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 | 30% | 2,900 | 2,511 | $131K |
| 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 | 25% | 1,516 | 1,330 | $110K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 1,040 | 807 | $80K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 897 | 756 | $62K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 314 | 290 | $24K |
| 90686 | 1.3% | 639 | 567 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 62 | 62 | $5K |
| 90670 | 1.1% | 478 | 436 | $5K | |
| 90648 | <1% | 509 | 448 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 81 | 75 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 128 | 62 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 136 | 117 | $2K |
7 more codes
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.