NP / PA
Clark, Mckenzie
Clark, Mckenzie was paid $2K by Medicaid between Nov 2019 and Jan 2020, across 2 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 100% of everything it billed.
33Billing provider infoCLARK, MCKENZIE
CHARLESTON, SC 29403
CHARLESTON, SC 29403
33aNPI1528566932assigned 01/31/2018
33bProvider typePediatric Nurse Practitioner
28Total paid$2K
24GClaims40
24DCodes billed2
24AFirst – last monthNov 2019 – Jan 2020
Compared with peers
Next to other Pediatric Nurse Practitioner providers in South Carolina
Rank by total paid#30 of 39
Median peer was paid$7K
This provider vs. median0.3×
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 | 28 | $2K | |
| 2020 | 12 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 100% | 15 | 15 | $2K |
| 90686 | 0% | 25 | 25 | $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.