Halista, Scott

Halista, Scott was paid $16K by Medicaid between Jan 2018 and Aug 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.

33Billing provider infoHALISTA, SCOTT
SPRINGFIELD, MA 01107

33aNPI1548257496assigned 10/05/2005

33bProvider typeRheumatology Physician

28Total paid$16K

24GClaims1,636

24DCodes billed8

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Rheumatology Physician providers in Massachusetts

Rank by total paid#20 of 46

Median peer was paid$12K

This provider vs. median1.3×

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	563	$7K
2019	24	$95.82
2020	37	$120.77
2021	320	$2K
2022	298	$1K
2023	222	$3K
2024incomplete	172	$2K

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	51%	92	91	$8K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	17%	361	358	$3K
82565		9.6%	305	302	$1K
85652		6.0%	369	366	$939.15
84460		5.7%	171	168	$879.14
84450		5.5%	171	168	$859.72
86140		5.0%	155	152	$771.50
82040		<1%	12	12	$61.52

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.