Clair, Pamela

Clair, Pamela was paid $9K by Medicaid between Sep 2020 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.

33Billing provider infoCLAIR, PAMELA
WEXFORD, PA 15090

33aNPI1043218704assigned 07/07/2005

33bProvider typePediatrics Physician

28Total paid$9K

24GClaims518

24DCodes billed6

24AFirst – last monthSep 2020 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#886 of 1,257

Median peer was paid$45K

This provider vs. median0.2×

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
2020	32	$286.00
2021	110	$3K
2022	122	$2K
2023	123	$694.90
2024incomplete	131	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	86%	256	248	$8K
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	11%	26	26	$989.07
90686		3.2%	32	32	$286.00
3078F		0%	89	89	$0.00
3074F		0%	91	91	$0.00
3008F		0%	24	24	$0.00

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.