Clemons, Margarita

Clemons, Margarita was paid $7K by Medicaid between Mar 2021 and Nov 2021, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.

33Billing provider infoCLEMONS, MARGARITA
SIERRA VISTA, AZ 85635

33aNPI1588215743assigned 09/27/2019

33bProvider typeAdult Health Nurse Practitioner

28Total paid$7K

24GClaims132

24DCodes billed2

24AFirst – last monthMar 2021 – Nov 2021

Compared with peers

Next to other Adult Health Nurse Practitioner providers in Arizona

Rank by total paid#16 of 29

Median peer was paid$8K

This provider vs. median0.9×

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
2021	132	$7K

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	85%	118	107	$6K
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	15%	14	12	$1K

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.