Medicaid Provider Spending

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

BUTLER MEDICAL PROVIDERS

NPI: 1790155257 · SENECA, PA 16346 · Family Medicine Physician · NPI assigned 09/28/2015

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

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

$208K
Total Medicaid Paid
7,241
Total Claims
6,816
Beneficiaries
15
Codes Billed
2018-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMADDEN, SCOTT (COO PHYSICIAN NETWORK)
NPI Enumeration Date09/28/2015

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 141 $143.78
2019 141 $2K
2020 103 $4K
2021 1,596 $54K
2022 1,698 $48K
2023 1,667 $46K
2024 1,895 $54K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,119 2,947 $134K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,903 1,803 $61K
99308 Subsequent nursing facility care, per day, straightforward 327 319 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 79 72 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 193 178 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 42 40 $865.80
90686 60 59 $541.96
G0008 Administration of influenza virus vaccine 47 47 $363.30
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $336.49
3078F 132 122 $265.00
3074F 173 165 $225.00
3079F 62 59 $50.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 408 368 $0.00
1111F 371 343 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 313 282 $0.00