Scates, Paul

Scates, Paul was paid $64K by Medicaid between Jan 2018 and Aug 2019, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 95% of everything it billed.

33Billing provider infoSCATES, PAUL
SOMERVILLE, TN 38068

33aNPI1437130903assigned 11/10/2005

33bProvider typeFamily Medicine Physician

28Total paid$64K

24GClaims2,656

24DCodes billed4

24AFirst – last monthJan 2018 – Aug 2019

Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#297 of 754

Median peer was paid$34K

This provider vs. median1.9×

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	1,896	$41K
2019	760	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	95%	2,370	2,007	$61K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	3.5%	101	83	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	142	88	$487.34
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	43	27	$168.40

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.