Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BUTLER MEDICAL PROVIDERS

NPI: 1770675977 · BUTLER, PA 16001 · Internal Medicine Physician · NPI assigned 09/28/2006

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

Authorized official MADDEN, SCOTT controls 20+ related entities in our dataset. Read more

$77K
Total Medicaid Paid
3,520
Total Claims
3,269
Beneficiaries
16
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMADDEN, SCOTT (COO PHYSICIAN NETWORK)
Parent OrganizationBUTLER MEDICAL PROVIDERS
NPI Enumeration Date09/28/2006

Related Entities

Other providers sharing the same authorized official: MADDEN, SCOTT

ProviderCityStateTotal 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 BUTLER PA $345K
BUTLER MEDICAL PROVIDERS SENECA PA $208K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 54 $2K
2021 658 $19K
2022 852 $20K
2023 1,256 $23K
2024 700 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,299 1,191 $39K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 720 676 $36K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 30 30 $812.76
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $246.40
G0008 Administration of influenza virus vaccine 13 13 $147.80
90686 131 129 $147.71
3074F 262 246 $110.00
3078F 79 71 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 304 289 $0.00
3288F 83 76 $0.00
1101F 82 75 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 275 250 $0.00
3079F 85 75 $0.00
1111F 86 77 $0.00
90656 46 46 $0.00
1036F 13 13 $0.00