Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SCRANTON QUINCY CLINIC COMPANY LLC

NPI: 1508143074 · SCRANTON, PA 18510 · Internal Medicine Physician · NPI assigned 11/10/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MUSIC, KRISTINA controls 20+ related entities in our dataset. Read more

$2.03M
Total Medicaid Paid
232,758
Total Claims
206,960
Beneficiaries
87
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMUSIC, KRISTINA (DIRECTOR PROVIDER ENROLLMENT)
NPI Enumeration Date11/10/2011

Related Entities

Other providers sharing the same authorized official: MUSIC, KRISTINA

ProviderCityStateTotal Paid
LUTHERAN MEDICAL GROUP LLC FORT WAYNE IN $21.97M
LA PORTE CLINIC COMPANY LLC VALPARAISO IN $18.77M
VICKSBURG CLINIC LLC VICKSBURG MS $15.98M
NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ $10.30M
KOSCIUSKO MEDICAL GROUP LLC WARSAW IN $8.81M
KNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC KNOXVILLE TN $8.70M
WESLEY PHYSICIAN SERVICES LLC HATTIESBURG MS $8.20M
PORTER PHYSICIAN SERVICES LLC VALPARAISO IN $6.44M
HOOD MEDICAL GROUP GRANBURY TX $6.40M
NORTHWEST PHYSICIANS LLC SPRINGDALE AR $5.81M
QHG OF FORT WAYNE COMPANY LLC FORT WAYNE IN $4.24M
VICKSBURG CLINIC LLC VICKSBURG MS $4.10M
DUKES PHYSICIAN SERVICES LLC PERU IN $3.72M
BLUFFTON PHYSICIAN SERVICES LLC BLUFFTON IN $3.45M
BULLHEAD CITY CLINIC CORP BULLHEAD CITY AZ $3.13M
NORTHWEST URGENT CARE LLC TUCSON AZ $2.64M
RIVER OAKS MANAGEMENT COMPANY LLC JACKSON MS $2.56M
FOLEY CLINIC CORP GULF SHORES AL $2.01M
MAT SU VALLEY MEDICAL CENTER LLC WASILLA AK $1.95M
MEDSTAT LLC WARSAW IN $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,354 $24K
2019 1,309 $28K
2020 7,257 $193K
2021 61,194 $587K
2022 80,194 $530K
2023 50,590 $401K
2024 30,860 $269K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35,220 30,076 $1.25M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,769 9,249 $450K
99460 1,567 1,542 $54K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 570 448 $54K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 444 333 $36K
99238 Hospital discharge day management, 30 minutes or less 1,481 1,444 $32K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 887 875 $18K
59025 Fetal non-stress test 1,306 868 $17K
11721 1,526 1,493 $11K
90715 1,297 1,090 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 164 159 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 339 324 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 82 70 $7K
90688 1,009 823 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 68 66 $5K
90686 737 633 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 660 543 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 180 175 $4K
99462 216 194 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 185 180 $3K
99308 Subsequent nursing facility care, per day, straightforward 343 330 $3K
3074F 32,192 28,741 $3K
99464 74 70 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $2K
99232 Subsequent hospital care, per day, moderate complexity 134 76 $2K
90670 373 324 $2K
3078F 26,404 23,666 $2K
54150 27 27 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 329 313 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 170 166 $2K
76830 Ultrasound, transvaginal 27 27 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 24 24 $2K
99254 29 28 $1K
99215 Prolong outpt/office vis 17 17 $1K
99307 124 120 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 12 $1K
90698 279 237 $1K
90682 48 46 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 108 87 $1K
99239 Hospital discharge day management, more than 30 minutes 12 12 $857.15
3079F 3,654 3,441 $835.00
90651 44 37 $741.83
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 821 700 $653.90
90472 Immunization administration, each additional vaccine (list separately) 157 102 $622.89
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 18 18 $560.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 109 77 $520.80
70450 Computed tomography, head or brain; without contrast material 15 15 $511.44
76506 15 12 $461.94
90680 143 120 $435.50
99283 Emergency department visit for the evaluation and management, moderate severity 14 12 $409.50
96161 112 66 $402.60
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 652 565 $326.95
99385 14 14 $300.00
71045 Radiologic examination, chest; single view 41 36 $267.93
90633 112 100 $225.00
11056 14 14 $222.59
90744 109 89 $189.50
3075F 289 282 $130.00
3077F 162 158 $120.00
90734 55 43 $116.00
71046 Radiologic examination, chest; 2 views 12 12 $101.53
90710 66 65 $84.50
86580 58 40 $64.38
3080F 67 65 $60.00
3725F 340 323 $60.00
99173 32 30 $47.70
99499 28 25 $40.17
0503F 100 89 $20.00
1036F 32,671 28,669 $0.00
3008F 41,062 36,764 $0.00
1034F 2,458 2,228 $0.00
92551 17 15 $0.00
90696 12 12 $0.00
90474 28 14 $0.00
90716 14 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 57 55 $0.00
0500F 15 15 $0.00
1126F 72 70 $0.00
90656 39 39 $0.00
1101F 14 14 $0.00
1125F 115 112 $0.00
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 13 13 $0.00
1159F 13,741 12,385 $0.00
1160F 16,636 14,994 $0.00
4274F 68 52 $0.00
90700 13 13 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 14 14 $0.00