Clauss, Karin

Clauss, Karin was paid $11K by Medicaid between Jan 2018 and Mar 2020, across 5 billing codes. Its largest line is 87804, Infectious agent antigen detection by immunoassay; Influenza, each type — 42% of everything it billed.

33Billing provider infoCLAUSS, KARIN
FARMINGTON, MO 63640

33aNPI1235392648assigned 07/07/2008

33bProvider typePediatrics Physician

28Total paid$11K

24GClaims413

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#719 of 992

Median peer was paid$40K

This provider vs. median0.3×

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	175	$5K
2019	138	$3K
2020	100	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	42%	155	120	$5K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	37%	214	210	$4K
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	11%	15	15	$1K
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%	14	14	$763.00
87807		2.6%	15	14	$281.62

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.