Physician
Clayton Medical Center, LLC
Clayton Medical Center, LLC was paid $526K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 44% of everything it billed.
33Billing provider infoCLAYTON MEDICAL CENTER, LLC
SAINT LOUIS, MO 63117
SAINT LOUIS, MO 63117
33aNPI1477761161assigned 05/18/2007
33bProvider typeInternal Medicine Physician
28Total paid$526K
24GClaims21,432
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Missouri
Rank by total paid#24 of 364
Median peer was paid$10K
This provider vs. median51×
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 | 1,683 | $29K | |
| 2019 | 2,327 | $42K | |
| 2020 | 2,011 | $32K | |
| 2021 | 2,647 | $56K | |
| 2022 | 4,224 | $130K | |
| 2023 | 6,251 | $203K | |
| 2024incomplete | 2,289 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 44% | 8,841 | 3,563 | $231K |
| 99222 | Initial hospital care, per day, moderate complexity | 8.9% | 1,390 | 1,246 | $47K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 7.6% | 3,262 | 2,365 | $40K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 6.9% | 2,255 | 906 | $36K |
| 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 | 6.6% | 759 | 645 | $35K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 6.6% | 3,024 | 1,261 | $34K |
| 99254 | 4.8% | 181 | 162 | $25K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.6% | 507 | 449 | $24K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.4% | 527 | 291 | $23K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.7% | 89 | 86 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 378 | 354 | $9K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 95 | 84 | $6K |
1 more codes
| 99306 | Prolong nursin fac eval 15m | <1% | 124 | $1K |
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 officialKULIKOWSKI, PIOTR (PRESIDENT)