Physician
Hamm, Paul
Hamm, Paul was paid $15K by Medicaid between Jan 2021 and Oct 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoHAMM, PAUL
CLARION, PA 16214
CLARION, PA 16214
33aNPI1275537862assigned 06/10/2005
33bProvider typeFamily Medicine Physician
28Total paid$15K
24GClaims1,212
24DCodes billed10
24AFirst – last monthJan 2021 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,508 of 2,756
Median peer was paid$19K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2021 | 216 | $2K | |
| 2022 | 430 | $5K | |
| 2023 | 455 | $4K | |
| 2024incomplete | 111 | $5K |
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 | 73% | 351 | 313 | $11K |
| 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 | 27% | 83 | 76 | $4K |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 79 | 71 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 71 | 64 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 170 | 160 | $0.00 |
| 3078F | 0% | 34 | 33 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 158 | 149 | $0.00 |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | 0% | 32 | 31 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 200 | 187 | $0.00 |
| 3074F | 0% | 34 | 33 | $0.00 |
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.