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

Scott S. Brehaut, MD, PLLC

Scott S. Brehaut, MD, PLLC was paid $50K by Medicaid between Mar 2021 and Oct 2023, across 8 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 60% of everything it billed.

33Billing provider infoSCOTT S. BREHAUT, MD, PLLC
CLINTON, NY 13323
33aNPI1952451411assigned 01/10/2007
28Total paid$50K
24GClaims482
24DCodes billed8
24AFirst – last monthMar 2021 – Oct 2023
Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#761 of 2,605
Median peer was paid$10K
This provider vs. median4.9×

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$5.0K$10K$15K2018201920202021202220232024
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
202166$6K
2022173$20K
2023243$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 60% 181 50 $30K
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 16% 89 87 $8K
99221 9.1% 72 72 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.8% 52 51 $3K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.3% 33 25 $2K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.2% 12 12 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 1.5% 29 14 $735.62
99238 Hospital discharge day management, 30 minutes or less 1.4% 14 14 $704.17

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 officialBREHAUT, SCOTT (PHYSICIAN)