Physician

Scott C Clay, MD

According to 2025 Medicare claims, Scott Clay, MD (NPI: 1003901117) practices family practice in the Brunswick-St. Simons, GA market, with the plurality of this provider's patient population coming from Glynn, GA. This provider's primary affiliated billing organization is COOPERATIVE HEALTHCARE SERVICES INC (NPI: 1417979402; TIN: 010594994) and primary practice location at 31520-4357.

Clay's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 422 traditional Medicare patients, billed 2,488 HCPCS/CPT codes, and received $127,397 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 34,540 prescription claims across 840 beneficiaries totaling $1,635,479 in drug costs, led by Ozempic (Semaglutide). DME data shows 222 claims. Open Payments data shows 6 records totaling $133. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Similarly, Part D prescription costs have changed little. For DME billing, reported payments did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	974	3,484	$151,586
2016	865	4,073	$137,347
2017	850	8,676	$164,519
2018	849	4,714	$167,579
2019	676	4,157	$154,725
2020	570	4,413	$116,629
2021	484	2,339	$120,027
2022	441	2,121	$116,265
2023	431	1,949	$116,020
2024	422	2,488	$127,397

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	948	36,280	$1,893,652
2016	982	42,364	$2,347,453
2017	977	35,035	$1,996,490
2018	891	40,382	$2,212,077
2019	888	64,553	$2,413,511
2020	824	69,568	$2,305,570
2021	775	60,141	$2,317,241
2022	774	55,242	$2,213,941
2023	780	45,309	$1,863,788
2024	840	34,540	$1,635,479

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	278	924	$49,444
2016	149	885	$35,506
2017	84	546	$21,089
2018	168	618	$14,075
2019	166	996	$31,510
2020	128	718	$27,338
2021	70	533	$22,280
2022	71	559	$30,924
2023	52	522	$27,502
2024	26	222	$26,641

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	222	222	$119
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	320	$75
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	293	556	$58
G0008	Administration of influenza virus vaccine	133	137	$30
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	259	428	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	213	7,264	$240,731
Eliquis	Apixaban	805	10,334	$210,281
Jardiance	Empagliflozin	362	8,839	$176,630
Mounjaro	Tirzepatide	68	1,972	$73,254
Trulicity	Dulaglutide	41	1,540	$52,730

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	13	48	$22,710
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	31	$2,164
K0001	Standard wheelchair	Y	N/R	48	$777
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	13	33	$446
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	15	$219

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	6	$133	Astellas Pharma US Inc
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Scott C. Clay, MD?

Tedicare shows public-source Medicare data for Scott C. Clay, MD (NPI 1003901117), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Scott C. Clay, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Scott C. Clay, MD?

Scott C. Clay, MD is linked to COOPERATIVE HEALTHCARE SERVICES INC (billing NPI 1417979402) in the available physician profile data.

Does Scott C. Clay, MD have Open Payments data?

Scott C. Clay, MD has 6 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.