Rosenthal, Scott

Rosenthal, Scott was paid $31K by Medicaid between Nov 2020 and Jan 2022, across 5 billing codes. Its largest line is 64484, — 38% of everything it billed.

33Billing provider infoROSENTHAL, SCOTT
WYOMISSING, PA 19610

33aNPI1861494023assigned 06/01/2005

33bProvider typeAnesthesiology Physician

28Total paid$31K

24GClaims373

24DCodes billed5

24AFirst – last monthNov 2020 – Jan 2022

Compared with peers

Next to other Anesthesiology Physician providers in Pennsylvania

Rank by total paid#55 of 168

Median peer was paid$9K

This provider vs. median3.3×

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
2020	49	$6K
2021	276	$19K
2022	48	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
64484		38%	68	48	$12K
64483		35%	70	49	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	211	201	$7K
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	3.5%	12	12	$1K
62323		<1%	12	12	$46.69

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.