Clearfield Professional Group, LTD.

Clearfield Professional Group, LTD. was paid $2K by Medicaid between Feb 2018 and Sep 2019, across 3 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 98% of everything it billed.

33Billing provider infoCLEARFIELD PROFESSIONAL GROUP, LTD.
CLEARFIELD, PA 16830

33aNPI1730108994assigned 07/19/2006

33bProvider typePulmonary Disease Physician

28Total paid$2K

24GClaims257

24DCodes billed3

24AFirst – last monthFeb 2018 – Sep 2019

Compared with peers

Next to other Pulmonary Disease Physician providers in Pennsylvania

Rank by total paid#101 of 137

Median peer was paid$7K

This provider vs. median0.2×

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	221	$1K
2019	36	$205.08

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	98%	164	161	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.9%	25	25	$32.45
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	68	68	$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.

From NPPES

Who's on the registration

Authorized officialWITHEROW, BRIAN (BUSINESS MANAGER)