Physician
Clayton, Matthew
Clayton, Matthew was paid $300K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoCLAYTON, MATTHEW
PROVO, UT 84604
PROVO, UT 84604
33aNPI1174778450assigned 11/30/2008
33bProvider typePediatrics Physician
28Total paid$300K
24GClaims6,777
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Utah
Rank by total paid#21 of 299
Median peer was paid$16K
This provider vs. median19×
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 | 1,543 | $53K | |
| 2019 | 1,443 | $53K | |
| 2020 | 811 | $36K | |
| 2021 | 1,240 | $58K | |
| 2022 | 1,048 | $57K | |
| 2023 | 419 | $25K | |
| 2024incomplete | 273 | $18K |
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 | 47% | 2,299 | 1,949 | $142K |
| 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 | 23% | 763 | 667 | $68K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 543 | 481 | $51K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 339 | 333 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 42 | 37 | $3K |
| 90686 | <1% | 92 | 92 | $2K | |
| 90688 | <1% | 107 | 102 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 711 | 685 | $677.33 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 46 | 45 | $603.35 |
| 90698 | <1% | 83 | 80 | $572.35 | |
| 90670 | <1% | 232 | 227 | $435.55 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,340 | 1,283 | $425.74 |
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.