Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Encinitas › NPI 1801184031
Physician

Scott a Eisman MD INC

Scott a Eisman MD INC was paid $599K by Medicaid between May 2018 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.

33Billing provider infoSCOTT A EISMAN MD INC
ENCINITAS, CA 92024
33aNPI1801184031assigned 07/21/2011
28Total paid$599K
24GClaims9,366
24DCodes billed11
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in California

Rank by total paid#22 of 136
Median peer was paid$38K
This provider vs. median16×

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$10K$20K2018201920202021202220232024
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
201839$2K
2019595$42K
20201,042$63K
20211,573$105K
20222,030$115K
20232,397$147K
2024incomplete1,690$125K
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% 6,738 6,538 $398K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 13% 1,032 961 $80K
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 12% 785 782 $75K
99205 Prolong outpt/office vis 2.0% 84 84 $12K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.3% 197 192 $8K
95806 1.3% 93 93 $7K
94729 <1% 131 130 $6K
94060 <1% 116 116 $5K
94726 <1% 119 118 $5K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 59 59 $4K
94618 <1% 12 12 $193.34

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 officialEISMAN, SCOTT (PRESIDENT)