Clinton Surgical PLLC

Clinton Surgical PLLC was paid $20K by Medicaid between Feb 2018 and Jan 2024, across 3 billing codes. Its largest line is 99202, Office or other outpatient visit for the evaluation and management of a new patient, straightforward — 81% of everything it billed.

33Billing provider infoCLINTON SURGICAL PLLC
CLINTON, NC 28328

33aNPI1205247970assigned 05/15/2014

33bProvider typeSurgery Physician

28Total paid$20K

24GClaims1,025

24DCodes billed3

24AFirst – last monthFeb 2018 – Jan 2024

Compared with peers

Next to other Surgery Physician providers in North Carolina

Rank by total paid#34 of 108

Median peer was paid$6K

This provider vs. median3.3×

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	256	$4K
2019	337	$6K
2020	173	$4K
2021	81	$2K
2022	99	$3K
2023	62	$1K
2024incomplete	17	$494.29

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	81%	745	557	$17K
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%	135	114	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	6.6%	145	107	$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.

From NPPES

Who's on the registration

Authorized officialVALENTI, MICHAEL (OWNER)