Clinic
Nancy S. Clarke, M.D. LLC
Nancy S. Clarke, M.D. LLC was paid $54K by Medicaid between Jan 2021 and Nov 2024, across 29 billing codes. Its largest line is S0302, Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) — 27% of everything it billed.
33Billing provider infoNANCY S. CLARKE, M.D. LLC
AIEA, HI 96701
AIEA, HI 96701
33aNPI1417592254assigned 11/15/2019
33bProvider typePrimary Care Clinic/Center
28Total paid$54K
24GClaims15,583
24DCodes billed29
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Hawaii
Rank by total paid#15 of 37
Median peer was paid$33K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2021 | 2,075 | $6K | |
| 2022 | 4,636 | $14K | |
| 2023 | 4,825 | $13K | |
| 2024incomplete | 4,047 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 27% | 532 | 509 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 1,153 | 1,081 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 746 | 728 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 715 | 694 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.9% | 506 | 491 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.7% | 396 | 370 | $5K |
| 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 | 6.4% | 308 | 299 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.8% | 520 | 471 | $3K |
| 97802 | 1.6% | 1,561 | 1,505 | $878.82 | |
| 87428 | 1.3% | 15 | 13 | $708.69 | |
| 90686 | <1% | 563 | 547 | $42.05 | |
| 90656 | <1% | 168 | 164 | $19.77 |
17 more codes
| 99173 | <1% | 1,690 | $11.06 | |
| 92551 | <1% | 1,693 | $10.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 841 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 1,782 | $0.00 |
| 90696 | 0% | 13 | $0.00 | |
| G9459 | Currently a tobacco non-user | 0% | 779 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 937 | $0.00 |
| 90651 | 0% | 40 | $0.00 | |
| 90698 | 0% | 14 | $0.00 | |
| 90680 | 0% | 15 | $0.00 | |
| 90697 | 0% | 28 | $0.00 | |
| 90685 | 0% | 123 | $0.00 | |
| S9999 | Sales tax | 0% | 164 | $0.00 |
| 90670 | 0% | 214 | $0.00 | |
| 90633 | 0% | 37 | $0.00 | |
| 90710 | 0% | 15 | $0.00 | |
| 90734 | 0% | 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 officialCLARKE, NANCY (OWNER)