Clayton, Douglass

Clayton, Douglass was paid $130K by Medicaid between Jan 2018 and Dec 2020, across 5 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 52% of everything it billed.

33Billing provider infoCLAYTON, DOUGLASS
NASHVILLE, TN 37232

33aNPI1174733513assigned 05/23/2007

33bProvider typeUrology Physician

28Total paid$130K

24GClaims1,808

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Urology Physician providers in Tennessee

Rank by total paid#11 of 53

Median peer was paid$12K

This provider vs. median11×

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	630	$36K
2019	532	$38K
2020	646	$56K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	52%	774	728	$68K
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	23%	220	212	$31K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	286	278	$16K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	12%	459	441	$15K
76775		1.1%	69	60	$1K

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.