Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

L.R. Clarke, M.D.P.A.

L.R. Clarke, M.D.P.A. was paid $494.50 by Medicaid between Jan 2018 and Jul 2019, across 2 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 86% of everything it billed.

33Billing provider infoL.R. CLARKE, M.D.P.A.
PASADENA, TX 77504
33aNPI1518231976assigned 03/02/2012
33bProvider typeOtolaryngology Physician
28Total paid$494.50
24GClaims165
24DCodes billed2
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers

Next to other Otolaryngology Physician providers in Texas

Rank by total paid#65 of 68
Median peer was paid$55K
This provider vs. median0.0×

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

$0$200$4002018201920202021202220232024
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
YearClaimsPaid
2018129$494.50
201936$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 86% 96 70 $423.07
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 69 54 $71.43

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, LAWRENCE (PRESIDENT)