Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Monaca › NPI 1942755004
NP / PA

Stern, Scott

Stern, Scott was paid $47K by Medicaid between Oct 2021 and Dec 2024, across 6 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 50% of everything it billed.

33Billing provider infoSTERN, SCOTT
MONACA, PA 15061
33aNPI1942755004assigned 08/18/2016
28Total paid$47K
24GClaims1,146
24DCodes billed6
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Pennsylvania

Rank by total paid#231 of 1,075
Median peer was paid$8K
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

$0$2.0K$4.0K2018201920202021202220232024
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
202141$1K
2022167$6K
2023468$21K
2024incomplete470$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9088 Services provided in an urgent care center (list in addition to code for service) 50% 725 709 $24K
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 27% 178 172 $13K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 153 151 $8K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 4.6% 64 63 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 12 12 $361.80
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 14 14 $162.00

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.