Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Scott, Michael

Scott, Michael was paid $13K by Medicaid between Feb 2018 and Jul 2021, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 99% of everything it billed.

33Billing provider infoSCOTT, MICHAEL
LYNWOOD, CA 90262
33aNPI1609963750assigned 10/09/2006
28Total paid$13K
24GClaims2,799
24DCodes billed9
24AFirst – last monthFeb 2018 – Jul 2021
Compared with peers

Next to other Pediatric Urology Physician providers in California

Rank by total paid#8 of 16
Median peer was paid$9K
This provider vs. median1.4×

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$250$500$7502018201920202021202220232024
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
2018336$2K
20191,333$5K
2020869$4K
2021261$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 99% 533 528 $13K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1.1% 599 594 $138.59
1036F 0% 507 503 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 371 368 $0.00
87086 Culture, bacterial; quantitative colony count, urine 0% 13 13 $0.00
81000 0% 13 13 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 92 91 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 547 544 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 124 124 $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.