Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Scott, Sallye

Scott, Sallye was paid $35K by Medicaid between Jan 2018 and Sep 2019, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 45% of everything it billed.

33Billing provider infoSCOTT, SALLYE
SARDIS, MS 38666
33aNPI1497783864assigned 06/28/2006
33bProvider typeOptometrist
28Total paid$35K
24GClaims1,524
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers

Next to other Optometrist providers in Mississippi

Rank by total paid#300 of 437
Median peer was paid$91K
This provider vs. median0.4×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,214$30K
2019310$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 45% 250 211 $16K
92015 Determination of refractive state 28% 492 445 $10K
V2020 Frames, purchases 13% 160 140 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7.8% 27 25 $3K
92340 Fitting of spectacles, except for aphakia; monofocal 4.7% 110 95 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.2% 18 13 $418.39
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 19 12 $165.40
1036F 0% 132 130 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 77 75 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 77 77 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 162 159 $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.