Cluster, Andrew

Cluster, Andrew was paid $15K by Medicaid between Jan 2018 and Jan 2020, across 2 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 94% of everything it billed.

33Billing provider infoCLUSTER, ANDREW
SAINT LOUIS, MO 63110

33aNPI1245542869assigned 07/12/2010

33bProvider typePediatric Hematology & Oncology Physician

28Total paid$15K

24GClaims194

24DCodes billed2

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Pediatric Hematology & Oncology Physician providers in Missouri

Rank by total paid#4 of 13

Median peer was paid$7K

This provider vs. median2.1×

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	129	$10K
2019	38	$3K
2020	27	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	94%	177	59	$14K
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	6.3%	17	12	$963.91

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.