Clark Family Medicine PA
Clark Family Medicine PA was paid $277K by Medicaid between Jan 2018 and May 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
NEWLAND, NC 28657
Next to other Family Medicine Physician providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 776 | $33K | |
| 2019 | 811 | $44K | |
| 2020 | 733 | $39K | |
| 2021 | 1,812 | $43K | |
| 2022 | 2,923 | $52K | |
| 2023 | 3,098 | $49K | |
| 2024incomplete | 445 | $18K |
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 | 69% | 3,044 | 2,574 | $192K |
| 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 | 18% | 611 | 569 | $50K |
| 99199 | Unlisted special service, procedure or report | 6.5% | 5,954 | 5,760 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 99 | 81 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 286 | 250 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 126 | 121 | $2K |
| 99401 | <1% | 25 | 25 | $875.90 | |
| 90686 | <1% | 90 | 78 | $409.41 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 160 | 145 | $299.61 |
| 90674 | <1% | 20 | 15 | $186.99 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | 12 | $183.69 |
| 99173 | <1% | 131 | 124 | $44.81 |
1 more codes
| 90688 | 0% | 39 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Bristol Bay Area Health Corporation | Dillingham, AK | $37.01M |
| Bristol Bay Area Health Corporation | Dillingham, AK | $9.09M |
| Mental Health Center of Denver | Denver, CO | $8.43M |
| Mental Health Center of Denver | Denver, CO | $6.90M |
| Bristol Bay Area Health Corporation | Dillingham, AK | $6.80M |
| Bristol Bay Area Health Corporation | Dillingham, AK | $5.85M |
| Mental Health Center of Denver | Denver, CO | $1.98M |
| Robert a Clark MD Medical Corporation | Long Beach, CA | $572K |
| Mental Health Center of Denver | Denver, CO | $468K |
| Mental Health Center of Denver | Denver, CO | $414K |
| Mental Health Center of Denver | Denver, CO | $183K |
| Mental Health Center of Denver | Denver, CO | $161K |
| Bristol Bay Area Health Corporation | Dillingham, AK | $152K |
| Bristol Bay Area Health Corporation | Dillingham, AK | $89K |
| Mental Health Center of Denver | Denver, CO | $88K |
| Mental Health Center of Denver | Denver, CO | $71K |
| Mental Health Center of Denver | Denver, CO | $63K |
| Clark Chiropractic INC | Englewood, OH | $63K |
| Mental Health Center of Denver | Denver, CO | $58K |
| Center for Primary Care PC | Evans, GA | $51K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.