Clarke Lew Medical Corp

Clarke Lew Medical Corp was paid $1.32M by Medicaid between Aug 2022 and Nov 2024, across 24 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 60% of everything it billed.

33Billing provider infoCLARKE LEW MEDICAL CORP
FULLERTON, CA 92833

33aNPI1205444742assigned 07/21/2020

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$1.32M

24GClaims9,822

24DCodes billed24

24AFirst – last monthAug 2022 – Nov 2024

Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in California

Rank by total paid#7 of 66

Median peer was paid$98K

This provider vs. median13×

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
2022	113	$4K
2023	2,844	$289K
2024incomplete	6,865	$1.03M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9012	Other specified case management service not elsewhere classified	60%	1,350	1,348	$797K
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	14%	2,866	2,133	$186K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	7.4%	1,076	879	$98K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.0%	1,652	1,436	$93K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	3.7%	418	223	$49K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	2.3%	431	289	$30K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.3%	121	121	$17K
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	<1%	152	145	$12K
99205	Prolong outpt/office vis	<1%	84	83	$10K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	159	94	$9K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	219	212	$4K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	29	29	$4K

12 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	80	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	267	$2K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	90	$2K
90656		<1%	71	$2K
96127		<1%	206	$1K
99406		<1%	79	$1K
82962		<1%	398	$896.18
90674		<1%	18	$661.32
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	15	$459.29
G9920	Screening performed and negative	<1%	13	$455.01
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	15	$322.35
97802		<1%	13	$121.40

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 officialST. CLAIRE, NICOLE (BILLING CONSULTANT)