Pillow Clinic, PLLC
Pillow Clinic, PLLC was paid $249K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoPILLOW CLINIC, PLLC
HELENA, AR 72342
HELENA, AR 72342
33aNPI1497762538assigned 08/02/2006
33bProvider typeSpecialist
28Total paid$249K
24GClaims9,393
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Arkansas
Rank by total paid#32 of 123
Median peer was paid$38K
This provider vs. median6.5×
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 | 1,629 | $63K | |
| 2019 | 1,220 | $31K | |
| 2020 | 1,868 | $38K | |
| 2021 | 1,782 | $41K | |
| 2022 | 1,451 | $39K | |
| 2023 | 1,002 | $25K | |
| 2024incomplete | 441 | $13K |
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 | 45% | 3,841 | 3,089 | $111K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 28% | 3,874 | 3,850 | $70K |
| 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 | 7.2% | 485 | 440 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 243 | 220 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.1% | 205 | 186 | $15K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 2.8% | 255 | 223 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.7% | 96 | 85 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 55 | 46 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 246 | 212 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 27 | 25 | $0.00 |
| J1094 | Injection, dexamethasone acetate, 1 mg | 0% | 33 | 32 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 33 | 32 | $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 officialPILLOW, JAMES (PHYSICIAN)