Clegg, Kevin

Clegg, Kevin was paid $109K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.

33Billing provider infoCLEGG, KEVIN
BARRINGTON, RI 02806

33aNPI1689602641assigned 06/29/2006

33bProvider typePediatrics Physician

28Total paid$109K

24GClaims1,747

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#149 of 265

Median peer was paid$133K

This provider vs. median0.8×

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	377	$18K
2019	102	$6K
2020	155	$7K
2021	184	$8K
2022	323	$21K
2023	357	$28K
2024incomplete	249	$21K

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	95%	1,452	1,361	$103K
99050		2.5%	80	79	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.2%	65	60	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	54	52	$749.32
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	64	64	$628.20
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	12	12	$124.63
90686		<1%	20	16	$9.50

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.