ST. Clair, Harvey

ST. Clair, Harvey was paid $30K by Medicaid between Jan 2018 and Jul 2018, across 2 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 66% of everything it billed.

33Billing provider infoST. CLAIR, HARVEY
NORFOLK, VA 23502

33aNPI1023023793assigned 07/30/2006

33bProvider typePediatric Orthopaedic Surgery Physician

28Total paid$30K

24GClaims379

24DCodes billed2

24AFirst – last monthJan 2018 – Jul 2018

Compared with peers

Next to other Pediatric Orthopaedic Surgery Physician providers in Virginia

Rank by total paid#1 of 7

Median peer was paid$14K

This provider vs. median2.2×

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	379	$30K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	66%	210	208	$20K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	169	161	$10K

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.