Clark, Dominique

Clark, Dominique was paid $40K by Medicaid between Jan 2018 and Nov 2019, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoCLARK, DOMINIQUE
GREENBELT, MD 20770

33aNPI1700255726assigned 09/21/2015

33bProvider typePhysician Assistant

28Total paid$40K

24GClaims440

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2019

Compared with peers

Next to other Physician Assistant providers in Maryland

Rank by total paid#11 of 37

Median peer was paid$5K

This provider vs. median8.8×

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	234	$20K
2019	206	$19K

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	59%	217	202	$23K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41%	223	215	$16K

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.