Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ID › Montpelier › NPI 1295813475
Physician

Clay I. Campbell M.D.,P.C.

Clay I. Campbell M.D.,P.C. was paid $64K by Medicaid between Jan 2018 and Apr 2019, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.

33Billing provider infoCLAY I. CAMPBELL M.D.,P.C.
MONTPELIER, ID 83254
33aNPI1295813475assigned 11/02/2006
28Total paid$64K
24GClaims1,516
24DCodes billed5
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers

Next to other Family Medicine Physician providers in Idaho

Rank by total paid#81 of 136
Median peer was paid$139K
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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20181,210$48K
2019306$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 96% 1,264 959 $62K
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 2.1% 120 110 $1K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity <1% 14 13 $592.68
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 103 94 $352.38
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 0% 15 15 $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.

From NPPES

Who's on the registration

Authorized officialCAMPBELL, CLAY (OWNER)