Claytor-Caldwell, Susan

Claytor-Caldwell, Susan was paid $9K by Medicaid between Jul 2019 and Oct 2019, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoCLAYTOR-CALDWELL, SUSAN
COLUMBIA, SC 29229

33aNPI1568421725assigned 03/17/2006

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$9K

24GClaims264

24DCodes billed8

24AFirst – last monthJul 2019 – Oct 2019

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in South Carolina

Rank by total paid#20 of 24

Median peer was paid$76K

This provider vs. median0.1×

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	264	$9K

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	52%	68	67	$5K
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	34%	30	28	$3K
90460	Immunization administration through 18 years of age via any route, first or only component	7.9%	56	56	$713.71
96127		4.1%	49	48	$372.90
96160		1.1%	13	12	$97.68
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	13	13	$87.49
81002		<1%	12	12	$32.52
90686		0%	23	23	$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.