Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1114041662assigned 03/19/2007
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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,294$936.92
20192,008$7K
20203,063$17K
20212,347$21K
20222,954$25K
20234,260$84K
2024incomplete3,486$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.