Physician
Monticello Medical Clinic PLC
Monticello Medical Clinic PLC was paid $2.25M by Medicaid between Jan 2018 and May 2023, across 78 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoMONTICELLO MEDICAL CLINIC PLC
MONTICELLO, AR 71655
MONTICELLO, AR 71655
33aNPI1366422305assigned 01/17/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.25M
24GClaims95,341
24DCodes billed78
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Family Medicine Physician providers in Arkansas
Rank by total paid#6 of 437
Median peer was paid$70K
This provider vs. median32×
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 | 28,230 | $625K | |
| 2019 | 22,816 | $537K | |
| 2020 | 18,692 | $405K | |
| 2021 | 22,617 | $589K | |
| 2022 | 2,678 | $80K | |
| 2023 | 308 | $9K |
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 | 62% | 47,012 | 39,928 | $1.39M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 3,169 | 2,815 | $160K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.5% | 2,668 | 2,299 | $124K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.8% | 5,649 | 5,117 | $63K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.9% | 1,116 | 1,055 | $44K |
| 87276 | 1.6% | 3,119 | 2,795 | $36K | |
| 87275 | 1.6% | 3,121 | 2,797 | $35K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 1,446 | 1,335 | $34K |
| 99219 | 1.5% | 674 | 614 | $33K | |
| 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 | 1.4% | 508 | 466 | $32K |
| 99490 | Ccm add 20min | 1.3% | 2,768 | 2,656 | $29K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 590 | 508 | $27K |
66 more codes
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.2% | 1,376 | $27K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.0% | 1,252 | $23K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 859 | $21K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,045 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 401 | $18K |
| 99460 | <1% | 145 | $14K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,057 | $13K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 201 | $11K |
| 87428 | <1% | 145 | $10K | |
| 99381 | <1% | 162 | $9K | |
| 80061 | Lipid panel | <1% | 1,355 | $8K |
| 87807 | <1% | 706 | $8K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,330 | $7K |
| 90670 | <1% | 507 | $6K | |
| 99217 | <1% | 220 | $5K | |
| 90680 | <1% | 383 | $4K | |
| 90698 | <1% | 325 | $4K | |
| 0071A | <1% | 34 | $3K | |
| 99457 | <1% | 166 | $3K | |
| 99307 | <1% | 183 | $3K | |
| 90697 | <1% | 216 | $2K | |
| 71020 | <1% | 62 | $2K | |
| 81003 | <1% | 1,610 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 272 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 52 | $2K |
| 90686 | <1% | 135 | $2K | |
| 0072A | <1% | 14 | $1K | |
| 90744 | <1% | 134 | $1K | |
| 90685 | <1% | 141 | $984.68 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $975.60 |
| 99499 | <1% | 33 | $775.00 | |
| 81025 | <1% | 112 | $740.46 | |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | <1% | 416 | $549.67 |
| 99397 | <1% | 12 | $537.01 | |
| 90633 | <1% | 55 | $499.32 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 269 | $370.22 |
| 99441 | <1% | 44 | $215.23 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 13 | $119.90 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 13 | $106.56 |
| 36415 | Collection of venous blood by venipuncture | <1% | 768 | $34.85 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 30 | $23.30 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $4.73 |
| 91307 | <1% | 64 | $0.51 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 234 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 187 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 164 | $0.00 |
| 3074F | 0% | 148 | $0.00 | |
| 3079F | 0% | 110 | $0.00 | |
| 3075F | 0% | 46 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 45 | $0.00 |
| 1036F | 0% | 155 | $0.00 | |
| 3044F | 0% | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 40 | $0.00 |
| 1101F | 0% | 52 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 23 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 26 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 217 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,224 | $0.00 |
| 3288F | 0% | 71 | $0.00 | |
| 99173 | 0% | 13 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 24 | $0.00 |
| 3078F | 0% | 87 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 199 | $0.00 |
| 90662 | 0% | 14 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 46 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 21 | $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 officialSIMON, SYLVIA (PARTNER)