Clapp, Mark

Clapp, Mark was paid $68K by Medicaid between Jan 2018 and Oct 2020, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 45% of everything it billed.

33Billing provider infoCLAPP, MARK
COOKEVILLE, TN 38501

33aNPI1376592782assigned 05/10/2006

33bProvider typeEmergency Medicine Physician

28Total paid$68K

24GClaims2,204

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Emergency Medicine Physician providers in Tennessee

Rank by total paid#151 of 332

Median peer was paid$56K

This provider vs. median1.2×

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	1,010	$42K
2019	719	$22K
2020	475	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	45%	627	576	$31K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	25%	381	346	$17K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	21%	451	424	$14K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	9.7%	720	253	$7K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	25	13	$168.82

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.