Physician
Butler Medical Providers
Butler Medical Providers was paid $345K by Medicaid between Oct 2020 and Dec 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoBUTLER MEDICAL PROVIDERS
BUTLER, PA 16001
BUTLER, PA 16001
33aNPI1609231240assigned 12/28/2015
33bProvider typeInternal Medicine Physician
28Total paid$345K
24GClaims14,327
24DCodes billed32
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#73 of 1,726
Median peer was paid$6K
This provider vs. median53×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MADDEN, SCOTT controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2020 | 173 | $3K | |
| 2021 | 1,931 | $48K | |
| 2022 | 2,695 | $76K | |
| 2023 | 4,747 | $113K | |
| 2024incomplete | 4,781 | $104K |
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 | 38% | 2,683 | 2,466 | $129K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 3,845 | 3,488 | $126K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 685 | 670 | $36K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.9% | 587 | 572 | $34K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.0% | 323 | 273 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 78 | 77 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 291 | 278 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 340 | 281 | $2K |
| 99173 | <1% | 269 | 263 | $1K | |
| 90461 | <1% | 150 | 139 | $1K | |
| 92551 | <1% | 183 | 177 | $954.95 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 30 | 25 | $824.95 |
20 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 233 | $769.00 |
| 90682 | <1% | 27 | $619.50 | |
| 83655 | <1% | 224 | $495.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $464.48 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 52 | $263.11 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 31 | $214.92 |
| 96161 | <1% | 104 | $186.16 | |
| 87807 | <1% | 13 | $159.06 | |
| 90670 | <1% | 42 | $90.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 40 | $88.00 |
| 3074F | <1% | 864 | $75.00 | |
| 90686 | <1% | 145 | $61.88 | |
| 3078F | <1% | 866 | $55.00 | |
| 96127 | <1% | 15 | $27.84 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,005 | $0.00 |
| 90677 | 0% | 57 | $0.00 | |
| 1036F | 0% | 88 | $0.00 | |
| 90673 | 0% | 12 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,014 | $0.00 |
| 4004F | 0% | 13 | $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 officialMADDEN, SCOTT (COO PHYSICIAN NETWORK)
| Provider | Location | Paid |
|---|---|---|
| Butler Healthcare Providers | Butler, PA | $10.40M |
| Clarion Hospital | Clarion, PA | $2.09M |
| Butler Healthcare Providers | Butler, PA | $1.47M |
| Clarion Hospital EMS | Clarion, PA | $1.01M |
| Butler Memorial Hospital | Butler, PA | $379K |
| Butler Medical Providers | Seneca, PA | $208K |
| Butler Medical Providers | Butler, PA | $77K |
| Butler Medical Providers | Butler, PA | $33K |
| Butler Medical Providers | Butler, PA | $32K |
| Butler Medical Providers | New Castle, PA | $32K |
| Butler Medical Providers | Butler, PA | $28K |
| Butler Medical Providers | New Castle, PA | $20K |
| Butler Medical Providers | Slippery Rock, PA | $12K |
| Butler Medical Providers | Butler, PA | $11K |
| Butler Medical Providers | Butler, PA | $11K |
| BHS Faster Care PLLC | Butler, PA | $2K |
| Butler Medical Providers | Fairmount City, PA | $2K |
| Butler Medical Providers | Ford City, PA | $595.87 |
| Butler Medical Providers | Butler, PA | $595.26 |
| Butler Medical Providers | Butler, PA | $486.15 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.