Clearwater, Theresa

Clearwater, Theresa was paid $58K by Medicaid between Sep 2018 and Oct 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.

33Billing provider infoCLEARWATER, THERESA
NEWBURGH, NY 12550

33aNPI1104207893assigned 06/18/2015

33bProvider typeFamily Nurse Practitioner

28Total paid$58K

24GClaims1,200

24DCodes billed6

24AFirst – last monthSep 2018 – Oct 2024

Compared with peers

Next to other Family Nurse Practitioner providers in New York

Rank by total paid#157 of 1,582

Median peer was paid$2K

This provider vs. median25×

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	29	$1K
2019	200	$12K
2020	166	$11K
2021	174	$16K
2022	375	$15K
2023	94	$2K
2024incomplete	162	$770.35

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	77%	643	628	$44K
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	15%	127	127	$9K
99442		3.6%	31	31	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.6%	12	12	$1K
96127		2.3%	280	278	$1K
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 single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	107	106	$2.92

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.