Clemons, Robert

Clemons, Robert was paid $32K by Medicaid between Sep 2018 and May 2019, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 46% of everything it billed.

33Billing provider infoCLEMONS, ROBERT
LOUISVILLE, KY 40202

33aNPI1275977837assigned 04/24/2013

33bProvider typePediatrics Physician

28Total paid$32K

24GClaims445

24DCodes billed3

24AFirst – last monthSep 2018 – May 2019

Compared with peers

Next to other Pediatrics Physician providers in Kentucky

Rank by total paid#83 of 156

Median peer was paid$41K

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
2018	118	$7K
2019	327	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	46%	162	162	$15K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	36%	240	240	$12K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	18%	43	43	$6K

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.