NP / PA
Norton Clark Physician Practices, LLC
Norton Clark Physician Practices, LLC was paid $7.07M by Medicaid between Jan 2018 and Nov 2024, across 131 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoNORTON CLARK PHYSICIAN PRACTICES, LLC
CLARKSVILLE, IN 47129
CLARKSVILLE, IN 47129
33aNPI1083098651assigned 07/14/2015
33bProvider typePhysician Assistant
28Total paid$7.07M
24GClaims249,967
24DCodes billed131
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physician Assistant providers in Indiana
Rank by total paid#6 of 52
Median peer was paid$211K
This provider vs. median34×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GAST, SHELLEY controls 20+ related entities in our dataset. Read more
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 | 41,941 | $489K | |
| 2019 | 39,081 | $1.11M | |
| 2020 | 31,690 | $906K | |
| 2021 | 35,928 | $1.32M | |
| 2022 | 38,017 | $1.41M | |
| 2023 | 46,269 | $1.41M | |
| 2024incomplete | 17,041 | $419K |
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 | 35% | 44,087 | 36,250 | $2.49M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 50,249 | 41,358 | $1.81M |
| 59426 | 6.1% | 6,355 | 3,057 | $431K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 3,160 | 2,970 | $275K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 3,069 | 2,724 | $258K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.7% | 2,924 | 2,421 | $188K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 3,568 | 3,068 | $136K |
| 59425 | 1.9% | 2,265 | 1,843 | $133K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 1,229 | 1,144 | $103K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 9,385 | 8,128 | $100K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.4% | 4,512 | 4,065 | $96K |
| 20610 | 1.3% | 4,467 | 3,147 | $93K |
119 more codes
| 99232 | Hospital visit by a doctor, follow-up day | 1.1% | 5,308 | $78K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.1% | 3,492 | $78K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 5,755 | $74K |
| 99223 | Prolong inpt eval add15 m | 1.0% | 1,418 | $73K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 792 | $60K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 20,400 | $60K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 550 | $44K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,768 | $37K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,889 | $32K |
| 81003 | <1% | 20,364 | $31K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 360 | $27K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 623 | $23K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 1,262 | $19K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 470 | $17K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 632 | $16K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 3,213 | $15K |
| 95816 | <1% | 616 | $15K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 449 | $14K |
| 71045 | Radiologic examination, chest; single view | <1% | 4,247 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 149 | $12K |
| 90473 | <1% | 958 | $11K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,538 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 960 | $10K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,326 | $9K |
| 95251 | <1% | 555 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 381 | $8K |
| 87428 | <1% | 228 | $8K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 772 | $7K |
| 59430 | <1% | 303 | $7K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,036 | $7K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 1,328 | $7K |
| 76830 | Ultrasound, transvaginal | <1% | 135 | $6K |
| 93000 | <1% | 1,091 | $6K | |
| 95886 | <1% | 110 | $6K | |
| 99442 | <1% | 434 | $6K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 193 | $6K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,629 | $5K |
| 76801 | <1% | 74 | $5K | |
| 97597 | <1% | 398 | $5K | |
| 81025 | <1% | 1,140 | $5K | |
| 72110 | <1% | 225 | $4K | |
| 90670 | <1% | 1,895 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 266 | $4K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 189 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 48 | $4K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,389 | $3K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 88 | $3K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 93 | $3K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 347 | $3K |
| 90688 | <1% | 445 | $3K | |
| 96127 | <1% | 787 | $2K | |
| 93018 | <1% | 365 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 214 | $2K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 56 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 541 | $2K |
| 72050 | <1% | 55 | $1K | |
| 99305 | <1% | 32 | $1K | |
| 90686 | <1% | 3,777 | $1K | |
| 72170 | <1% | 80 | $1K | |
| 90674 | <1% | 134 | $1K | |
| 87210 | <1% | 477 | $1K | |
| 99441 | <1% | 236 | $1K | |
| 71250 | <1% | 57 | $1K | |
| 0071A | <1% | 42 | $1K | |
| 99152 | <1% | 128 | $993.11 | |
| 90698 | <1% | 1,120 | $906.85 | |
| 93971 | <1% | 95 | $866.31 | |
| 93976 | <1% | 62 | $829.04 | |
| 73630 | <1% | 194 | $748.48 | |
| 90680 | <1% | 852 | $707.42 | |
| 76536 | <1% | 42 | $653.82 | |
| 99354 | <1% | 134 | $600.00 | |
| 87807 | <1% | 52 | $599.42 | |
| 90715 | <1% | 92 | $592.44 | |
| 93016 | <1% | 76 | $589.69 | |
| 74018 | <1% | 127 | $517.74 | |
| 90633 | <1% | 213 | $431.72 | |
| 73030 | <1% | 75 | $421.14 | |
| J1020 | Injection, methylprednisolone acetate, 20 mg | <1% | 145 | $412.55 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 62 | $386.58 |
| 72100 | <1% | 28 | $364.38 | |
| 0072A | <1% | 15 | $344.19 | |
| 73562 | <1% | 33 | $338.71 | |
| 94760 | <1% | 174 | $297.43 | |
| 99307 | <1% | 90 | $257.84 | |
| 76642 | <1% | 64 | $245.59 | |
| 73610 | <1% | 52 | $238.21 | |
| 76770 | <1% | 39 | $217.53 | |
| 71271 | <1% | 12 | $198.40 | |
| 93970 | <1% | 41 | $197.08 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 32 | $182.88 |
| 93880 | <1% | 13 | $181.30 | |
| 90685 | <1% | 104 | $174.28 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 37 | $165.08 |
| 90744 | <1% | 118 | $95.08 | |
| 73110 | <1% | 16 | $83.58 | |
| 76937 | <1% | 13 | $24.88 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 17 | $23.70 |
| 90677 | 0% | 104 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 54 | $0.00 |
| 90697 | 0% | 314 | $0.00 | |
| 3008F | 0% | 2,288 | $0.00 | |
| 3079F | 0% | 741 | $0.00 | |
| 3074F | 0% | 1,417 | $0.00 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 0% | 28 | $0.00 |
| 90632 | 0% | 36 | $0.00 | |
| 99385 | 0% | 46 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| G9637 | Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) | 0% | 102 | $0.00 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 19 | $0.00 |
| 91307 | 0% | 68 | $0.00 | |
| 4004F | 0% | 1,904 | $0.00 | |
| 3078F | 0% | 900 | $0.00 | |
| 59025 | Fetal non-stress test | 0% | 19 | $0.00 |
| 99221 | 0% | 30 | $0.00 | |
| 90672 | 0% | 13 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 99051 | 0% | 20 | $0.00 | |
| 3077F | 0% | 17 | $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.
From NPPES
Who's on the registration
Authorized officialGAST, SHELLEY (VP MANAGED CARE)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.