Physician
Clemmons, James
Clemmons, James was paid $177K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 90% of everything it billed.
33Billing provider infoCLEMMONS, JAMES
CHIPLEY, FL 32428
CHIPLEY, FL 32428
33aNPI1114041662assigned 03/19/2007
33bProvider typeGeneral Practice Physician
28Total paid$177K
24GClaims19,412
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Florida
Rank by total paid#96 of 420
Median peer was paid$23K
This provider vs. median7.8×
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 | 1,294 | $936.92 | |
| 2019 | 2,008 | $7K | |
| 2020 | 3,063 | $17K | |
| 2021 | 2,347 | $21K | |
| 2022 | 2,954 | $25K | |
| 2023 | 4,260 | $84K | |
| 2024incomplete | 3,486 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 90% | 18,312 | 11,193 | $158K |
| 99305 | 4.0% | 266 | 173 | $7K | |
| 99304 | 2.2% | 243 | 157 | $4K | |
| 99307 | 1.6% | 251 | 152 | $3K | |
| 99315 | 1.6% | 178 | 119 | $3K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 45 | 32 | $967.87 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 97 | 81 | $562.79 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 20 | 13 | $251.76 |
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.