Physician
Cook, Scott
Cook, Scott was paid $3.89M by Medicaid between Jul 2019 and Dec 2024, across 12 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 45% of everything it billed.
33Billing provider infoCOOK, SCOTT
MONESSEN, PA 15062
MONESSEN, PA 15062
33aNPI1841255296assigned 04/19/2006
33bProvider typeFamily Medicine Physician
28Total paid$3.89M
24GClaims31,530
24DCodes billed12
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#16 of 2,756
Median peer was paid$19K
This provider vs. median203×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 13 | $13.17 | |
| 2020 | 1,182 | $218K | |
| 2021 | 10,072 | $2.37M | |
| 2022 | 8,327 | $509K | |
| 2023 | 7,063 | $422K | |
| 2024incomplete | 4,873 | $366K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 45% | 6,553 | 6,531 | $1.77M |
| J2315 | Injection, naltrexone, depot form, 1 mg | 44% | 4,454 | 4,225 | $1.71M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 3,024 | 2,787 | $105K |
| 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 | 2.1% | 1,556 | 1,466 | $83K |
| Q3014 | Telehealth originating site facility fee | 2.1% | 4,698 | 4,444 | $81K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 4,458 | 4,221 | $57K |
| 80305 | 1.4% | 4,619 | 4,376 | $55K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 333 | 320 | $7K |
| 81025 | <1% | 1,581 | 1,509 | $6K | |
| 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% | 88 | 87 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 154 | 154 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | 12 | $466.32 |
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.