Physician
Clayton Health Systems INC
Clayton Health Systems INC was paid $80K by Medicaid between Jan 2018 and Aug 2022, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 84% of everything it billed.
33Billing provider infoCLAYTON HEALTH SYSTEMS INC
CLAYTON, NM 88415
CLAYTON, NM 88415
33aNPI1285715243assigned 10/18/2006
33bProvider typeFamily Medicine Physician
28Total paid$80K
24GClaims1,823
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Family Medicine Physician providers in New Mexico
Rank by total paid#88 of 148
Median peer was paid$167K
This provider vs. median0.5×
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 | 1,341 | $52K | |
| 2019 | 118 | $7K | |
| 2020 | 121 | $7K | |
| 2021 | 130 | $7K | |
| 2022 | 113 | $7K |
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 | 84% | 1,403 | 1,294 | $68K |
| 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 | 4.7% | 54 | 51 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 190 | 180 | $3K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.9% | 70 | 68 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.4% | 30 | 30 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 50 | 50 | $956.80 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | 14 | $230.75 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 12 | 12 | $197.60 |
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 officialCHAVEZ, TAMMIE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Clayton Health Systems INC | Clayton, NM | $1.80M |
| Clayton Health Systems, INC | Clayton, NM | $669K |
| Clayton Health Systems INC | Clayton, NM | $443.35 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.