ST Clare Medical Services INC

ST Clare Medical Services INC was paid $104K by Medicaid between Jan 2018 and Oct 2023, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoST CLARE MEDICAL SERVICES INC
LAS VEGAS, NV 89102

33aNPI1548579022assigned 09/30/2010

33bProvider typeHealth Maintenance Organization

28Total paid$104K

24GClaims3,259

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Health Maintenance Organization providers in Nevada

Rank by total paid#7 of 8

Median peer was paid$242K

This provider vs. median0.4×

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	862	$21K
2019	797	$21K
2020	417	$15K
2021	442	$20K
2022	440	$16K
2023	301	$11K

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	70%	2,044	1,499	$73K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	30%	1,203	924	$31K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	12	12	$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 officialPHAN, KIMBERLY (BILLING COORDINATOR)