Physician
Clarke, Claudia
Clarke, Claudia was paid $251K by Medicaid between Feb 2020 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoCLARKE, CLAUDIA
WEST WARWICK, RI 02893
WEST WARWICK, RI 02893
33aNPI1558621359assigned 05/25/2012
33bProvider typeInternal Medicine Physician
28Total paid$251K
24GClaims6,188
24DCodes billed15
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Rhode Island
Rank by total paid#41 of 386
Median peer was paid$15K
This provider vs. median16×
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 | |
|---|---|---|---|
| 2020 | 2,375 | $82K | |
| 2021 | 1,102 | $35K | |
| 2022 | 803 | $32K | |
| 2023 | 1,208 | $60K | |
| 2024incomplete | 700 | $43K |
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 | 51% | 2,471 | 2,054 | $129K |
| 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 | 16% | 460 | 414 | $40K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.8% | 325 | 306 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.6% | 557 | 440 | $17K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 194 | 183 | $14K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.5% | 654 | 623 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.1% | 1,121 | 1,083 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 73 | 72 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 26 | 26 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 57 | 57 | $760.92 |
| 90473 | <1% | 57 | 55 | $581.22 | |
| 99177 | <1% | 129 | 129 | $562.15 |
3 more codes
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.