Borinstein, Scott

Borinstein, Scott was paid $47K by Medicaid between Mar 2018 and Oct 2020, across 3 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 75% of everything it billed.

33Billing provider infoBORINSTEIN, SCOTT
NASHVILLE, TN 37232

33aNPI1407969488assigned 08/16/2006

33bProvider typePediatric Hematology & Oncology Physician

28Total paid$47K

24GClaims613

24DCodes billed3

24AFirst – last monthMar 2018 – Oct 2020

Compared with peers

Next to other Pediatric Hematology & Oncology Physician providers in Tennessee

Rank by total paid#3 of 5

Median peer was paid$47K

This provider vs. median1.0×

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	245	$21K
2019	333	$23K
2020	35	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	75%	466	116	$35K
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	16%	107	88	$8K
99239	Hospital discharge day management, more than 30 minutes	8.3%	40	38	$4K

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.