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

Norton Scott Physician Practices, LLC

Norton Scott Physician Practices, LLC was paid $86K by Medicaid between Jan 2018 and Mar 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.

33Billing provider infoNORTON SCOTT PHYSICIAN PRACTICES, LLC
SCOTTSBURG, IN 47170
33aNPI1780004788assigned 04/17/2014
28Total paid$86K
24GClaims4,829
24DCodes billed16
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers

Next to other Internal Medicine Physician providers in Indiana

Rank by total paid#100 of 316
Median peer was paid$17K
This provider vs. median5.1×

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 GAST, SHELLEY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
2018917$28K
202035$782.26
2021174$5K
2022392$17K
20232,512$26K
2024incomplete799$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 66% 1,107 938 $57K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 12% 219 170 $11K
59425 8.0% 94 36 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.0% 389 267 $5K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4.7% 41 38 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.7% 99 65 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 89 76 $268.89
95251 <1% 18 17 $201.16
1160F 0% 498 452 $0.00
1159F 0% 498 452 $0.00
3078F 0% 435 406 $0.00
3725F 0% 48 46 $0.00
4 more codes
3008F 0% 544 $0.00
1034F 0% 50 $0.00
3074F 0% 409 $0.00
1036F 0% 291 $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 officialGAST, SHELLEY (VP MANAGED CARE)
Same official

Other billing entities under GAST, SHELLEY

Full network →
ProviderLocationPaid
Norton Hospitals INCLouisville, KY$419.58M
Norton Hospitals, INCLouisville, KY$299.00M
Community Medical Associates, INC.Louisville, KY$135.33M
Norton Childrens Medical Group, LLCLouisville, KY$107.36M
Community Medical Associates, INC.Louisville, KY$48.97M
Norton Clark Hospital, LLCJeffersonville, IN$19.62M
Norton - Kings Daughters Health INCMadison, IN$11.81M
Norton Scott Hospital, LLCScottsburg, IN$9.17M
Norton Clark Physician Practices, LLCClarksville, IN$7.07M
Norton Hospitals INCLouisville, KY$3.38M
Community Medical Associates, INC.Louisville, KY$1.21M
Norton Children's Medical Group, LLCLouisville, KY$1.15M
Community Medical Associates, INC.Louisville, KY$957K
Community Medical Associates, INC.Louisville, KY$808K
Norton Scott Hospital, LLCScottsburg, IN$560K
Norton Hospitals, INCLouisville, KY$438K
Community Medical Associates, INC.Louisville, KY$357K
Norton Clark Physician Practices, LLCSellersburg, IN$273K
Norton Children's Medical Group, LLCLouisville, KY$260K
Norton Children's Medical Group, LLCLouisville, KY$238K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.