Physician
G Scot Johnson M D P a
G Scot Johnson M D P a was paid $1.85M by Medicaid between May 2018 and Nov 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoG SCOT JOHNSON M D P A
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1902128267assigned 02/26/2010
33bProvider typePediatrics Physician
28Total paid$1.85M
24GClaims76,747
24DCodes billed57
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#260 of 1,136
Median peer was paid$329K
This provider vs. median5.6×
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 | |
|---|---|---|---|
| 2018 | 15 | $343.56 | |
| 2019 | 59 | $1K | |
| 2020 | 2,417 | $20K | |
| 2021 | 20,853 | $431K | |
| 2022 | 21,671 | $590K | |
| 2023 | 19,088 | $478K | |
| 2024incomplete | 12,644 | $324K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 11,751 | 9,046 | $394K |
| S8301 | Infection control supplies, not otherwise specified | 12% | 10,802 | 8,178 | $223K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6.8% | 2,925 | 2,477 | $126K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 1,475 | 1,449 | $110K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.8% | 8,757 | 7,510 | $107K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 5.5% | 745 | 691 | $102K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 5.2% | 2,601 | 2,337 | $96K |
| 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 | 5.1% | 2,081 | 1,979 | $94K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 1,252 | 1,153 | $88K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.4% | 7,881 | 3,588 | $81K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 970 | 956 | $76K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.9% | 1,758 | 1,568 | $72K |
45 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 3,359 | $67K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 446 | $36K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 2,706 | $34K |
| 99429 | 1.5% | 886 | $28K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 4,188 | $25K |
| 92567 | 1.3% | 2,847 | $25K | |
| 87428 | <1% | 381 | $18K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,028 | $8K |
| 90461 | <1% | 1,082 | $6K | |
| 99050 | <1% | 319 | $5K | |
| 81002 | <1% | 1,281 | $3K | |
| 0071A | <1% | 85 | $3K | |
| 0072A | <1% | 77 | $3K | |
| 86580 | <1% | 336 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 154 | $2K |
| 0002A | <1% | 44 | $2K | |
| 0001A | <1% | 35 | $1K | |
| 0082A | <1% | 30 | $1K | |
| 87807 | <1% | 113 | $1K | |
| 0081A | <1% | 36 | $1K | |
| 0154A | <1% | 34 | $960.00 | |
| 99381 | <1% | 13 | $932.88 | |
| 0073A | <1% | 24 | $920.00 | |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | <1% | 19 | $701.46 |
| 0124A | <1% | 13 | $520.00 | |
| 0003A | <1% | 12 | $440.00 | |
| 99051 | <1% | 52 | $268.92 | |
| 90686 | <1% | 1,846 | $97.23 | |
| 96160 | <1% | 30 | $47.25 | |
| 99000 | <1% | 12 | $43.20 | |
| 90671 | <1% | 238 | $0.43 | |
| 90620 | <1% | 13 | $0.01 | |
| 90651 | <1% | 32 | $0.01 | |
| 90716 | 0% | 171 | $0.00 | |
| 90698 | 0% | 104 | $0.00 | |
| 90723 | 0% | 14 | $0.00 | |
| 90656 | 0% | 12 | $0.00 | |
| 90670 | 0% | 662 | $0.00 | |
| 90648 | 0% | 272 | $0.00 | |
| 90700 | 0% | 159 | $0.00 | |
| 90707 | 0% | 148 | $0.00 | |
| 90681 | 0% | 177 | $0.00 | |
| 90633 | 0% | 183 | $0.00 | |
| 91300 | 0% | 64 | $0.00 | |
| 90713 | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialJOHNSON, GERARD (PRESIDENT)