Physician
Clarke, Nancy
Clarke, Nancy was paid $75K by Medicaid between Mar 2018 and Mar 2021, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoCLARKE, NANCY
HONOLULU, HI 96826
HONOLULU, HI 96826
33aNPI1124224282assigned 06/26/2007
33bProvider typePediatrics Physician
28Total paid$75K
24GClaims8,608
24DCodes billed33
24AFirst – last monthMar 2018 – Mar 2021
Compared with peers
Next to other Pediatrics Physician providers in Hawaii
Rank by total paid#23 of 76
Median peer was paid$21K
This provider vs. median3.6×
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 | 3,294 | $38K | |
| 2019 | 3,298 | $24K | |
| 2020 | 1,966 | $13K | |
| 2021 | 50 | $474.08 |
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 | 37% | 1,518 | 1,352 | $28K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 337 | 326 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 308 | 303 | $9K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.7% | 103 | 99 | $6K |
| 99383 | 6.4% | 102 | 100 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 356 | 332 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 160 | 158 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.0% | 505 | 465 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 28 | 28 | $2K |
| 99384 | 2.4% | 65 | 63 | $2K | |
| 99382 | 2.0% | 35 | 29 | $2K | |
| 99381 | 2.0% | 16 | 13 | $1K |
21 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 986 | $186.88 |
| 96127 | <1% | 249 | $82.17 | |
| 86580 | <1% | 48 | $80.51 | |
| 92551 | <1% | 757 | $61.00 | |
| 97802 | <1% | 54 | $54.06 | |
| 99173 | <1% | 780 | $9.35 | |
| 90685 | <1% | 55 | $4.00 | |
| 90680 | 0% | 125 | $0.00 | |
| 90698 | 0% | 157 | $0.00 | |
| 90620 | 0% | 24 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 337 | $0.00 |
| G9459 | Currently a tobacco non-user | 0% | 113 | $0.00 |
| 90651 | 0% | 52 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 350 | $0.00 |
| 90686 | 0% | 465 | $0.00 | |
| 90707 | 0% | 92 | $0.00 | |
| 90670 | 0% | 290 | $0.00 | |
| 90710 | 0% | 16 | $0.00 | |
| 90633 | 0% | 28 | $0.00 | |
| 90734 | 0% | 32 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 65 | $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.