Physician
Scott P. Stein DO PA
Scott P. Stein DO PA was paid $109K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is J0129, Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) — 63% of everything it billed.
33Billing provider infoSCOTT P. STEIN DO PA
VICTORIA, TX 77901
VICTORIA, TX 77901
33aNPI1588989958assigned 03/29/2010
33bProvider typeRheumatology Physician
28Total paid$109K
24GClaims2,646
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rheumatology Physician providers in Texas
Rank by total paid#9 of 45
Median peer was paid$12K
This provider vs. median9.3×
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 | 1,028 | $73K | |
| 2019 | 507 | $5K | |
| 2020 | 326 | $4K | |
| 2021 | 352 | $11K | |
| 2022 | 197 | $7K | |
| 2023 | 162 | $5K | |
| 2024incomplete | 74 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 63% | 95 | 88 | $69K |
| 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 | 29% | 1,078 | 1,059 | $32K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.9% | 550 | 544 | $5K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 2.6% | 195 | 184 | $3K |
| 36415 | Collection of venous blood by venipuncture | 0% | 566 | 551 | $0.00 |
| 1125F | 0% | 49 | 49 | $0.00 | |
| 4195F | 0% | 12 | 12 | $0.00 | |
| 0540F | 0% | 58 | 58 | $0.00 | |
| 4194F | 0% | 31 | 31 | $0.00 | |
| 3476F | 0% | 12 | 12 | $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.
From NPPES
Who's on the registration
Authorized officialSTEIN, SCOTT (PHYSICIAN)