Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Newburyport › NPI 1407818974
Physician

Sclar, Andrew

Sclar, Andrew was paid $70K by Medicaid between Jan 2018 and Mar 2023, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 66% of everything it billed.

33Billing provider infoSCLAR, ANDREW
NEWBURYPORT, MA 01950
33aNPI1407818974assigned 04/03/2006
28Total paid$70K
24GClaims781
24DCodes billed3
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#120 of 618
Median peer was paid$8K
This provider vs. median8.4×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018118$9K
2019216$18K
2020148$15K
2021140$13K
202295$9K
202364$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 66% 517 481 $46K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 25% 130 129 $17K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.0% 134 132 $6K

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.