Physician
Clairmont, Albert
Clairmont, Albert was paid $542K by Medicaid between Jan 2018 and Feb 2021, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoCLAIRMONT, ALBERT
CLEVELAND, TN 37312
CLEVELAND, TN 37312
33aNPI1336242569assigned 09/06/2006
33bProvider typeOtolaryngology Physician
28Total paid$542K
24GClaims13,617
24DCodes billed11
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Otolaryngology Physician providers in Tennessee
Rank by total paid#4 of 28
Median peer was paid$44K
This provider vs. median12×
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 | 5,881 | $239K | |
| 2019 | 5,101 | $201K | |
| 2020 | 2,552 | $98K | |
| 2021 | 83 | $3K |
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 | 29% | 4,284 | 3,994 | $156K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 14% | 1,011 | 947 | $78K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 13% | 647 | 640 | $71K |
| 92570 | 12% | 3,839 | 3,773 | $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 | 10% | 1,176 | 1,140 | $54K |
| 92557 | 9.2% | 2,021 | 1,995 | $50K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 5.9% | 206 | 199 | $32K |
| 99243 | 4.7% | 340 | 335 | $26K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 63 | 62 | $4K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 14 | 14 | $3K |
| 31575 | <1% | 16 | 14 | $596.68 |
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.