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

Andes, Scott

Andes, Scott was paid $760K by Medicaid between Jun 2023 and Dec 2024, across 42 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 29% of everything it billed.

33Billing provider infoANDES, SCOTT
BROOKLYN, NY 11234
33aNPI1891803037assigned 08/28/2006
28Total paid$760K
24GClaims46,302
24DCodes billed42
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#342 of 6,049
Median peer was paid$11K
This provider vs. median67×

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$50K$100K2018201920202021202220232024
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
20234,387$116K
2024incomplete41,915$644K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29% 9,354 9,224 $221K
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 23% 5,508 4,916 $177K
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 14% 2,750 2,697 $109K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 6,774 6,209 $108K
99491 Ccm add 20min 7.0% 6,390 6,268 $54K
99344 1.4% 379 362 $10K
99443 1.3% 219 194 $10K
99349 1.3% 1,917 1,687 $10K
94060 1.2% 362 344 $9K
99454 <1% 607 581 $7K
99387 <1% 380 362 $6K
99457 <1% 1,135 1,076 $6K
30 more codes
99490 Ccm add 20min <1% 2,097 $6K
99458 <1% 824 $5K
99424 <1% 566 $4K
93000 <1% 495 $4K
99497 <1% 1,331 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 177 $3K
99397 <1% 209 $3K
99439 <1% 377 $2K
99492 <1% 203 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 163 $550.95
99401 <1% 582 $379.10
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) <1% 877 $368.30
99453 <1% 39 $188.69
36415 Collection of venous blood by venipuncture <1% 557 $182.76
99350 Prolong home eval add 15m <1% 39 $32.13
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 21 $14.43
81002 <1% 13 $4.12
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 341 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 0% 28 $0.00
3074F 0% 268 $0.00
3075F 0% 153 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 143 $0.00
3079F 0% 49 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 0% 267 $0.00
3078F 0% 494 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 28 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 0% 28 $0.00
3077F 0% 82 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 41 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 35 $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.