Physician
The Doctors Clinic
The Doctors Clinic was paid $256K by Medicaid between Oct 2019 and May 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoTHE DOCTORS CLINIC
TAMUNING, GU 96913
TAMUNING, GU 96913
33aNPI1467503433assigned 01/16/2007
33bProvider typeInternal Medicine Physician
28Total paid$256K
24GClaims4,097
24DCodes billed9
24AFirst – last monthOct 2019 – May 2024
Compared with peers
Next to other Internal Medicine Physician providers in Guam
Rank by total paid#4 of 7
Median peer was paid$256K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2019 | 150 | $6K | |
| 2020 | 835 | $43K | |
| 2021 | 825 | $58K | |
| 2022 | 938 | $63K | |
| 2023 | 1,168 | $70K | |
| 2024incomplete | 181 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 60% | 1,697 | 1,598 | $155K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 1,586 | 1,529 | $98K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 181 | 178 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | 13 | $220.48 |
| 90688 | <1% | 92 | 92 | $102.40 | |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | 14 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 427 | 405 | $0.00 |
| 90750 | 0% | 12 | 12 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 75 | 72 | $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 officialPAULINO, BENNY (CHIEF OPERATING OFFICER)