Physician
Scalia Primary Care PC
Scalia Primary Care PC was paid $206K by Medicaid between Jun 2018 and Dec 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
33Billing provider infoSCALIA PRIMARY CARE PC
PINE GROVE, PA 17963
PINE GROVE, PA 17963
33aNPI1952717738assigned 07/01/2014
33bProvider typePediatrics Physician
28Total paid$206K
24GClaims7,024
24DCodes billed9
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#333 of 1,257
Median peer was paid$45K
This provider vs. median4.5×
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 | 136 | $30.84 | |
| 2019 | 119 | $797.33 | |
| 2020 | 149 | $6K | |
| 2021 | 1,408 | $43K | |
| 2022 | 1,880 | $55K | |
| 2023 | 1,801 | $54K | |
| 2024incomplete | 1,531 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 75% | 3,580 | 3,233 | $155K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 1,198 | 1,058 | $38K |
| 96127 | 2.8% | 1,729 | 1,559 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.4% | 154 | 145 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 117 | 115 | $2K |
| 92587 | <1% | 66 | 66 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 71 | 70 | $630.00 |
| 90688 | <1% | 96 | 87 | $474.64 | |
| 90656 | <1% | 13 | 13 | $241.00 |
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 officialSCALIA, ROBERT (OWNER)