Clifford, Seth

Clifford, Seth was paid $16K by Medicaid between Jul 2018 and Aug 2021, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 75% of everything it billed.

33Billing provider infoCLIFFORD, SETH
MICHIGAN CITY, IN 46360

33aNPI1730503665assigned 02/12/2014

33bProvider typeEmergency Medicine Physician

28Total paid$16K

24GClaims360

24DCodes billed3

24AFirst – last monthJul 2018 – Aug 2021

Compared with peers

Next to other Emergency Medicine Physician providers in Indiana

Rank by total paid#141 of 191

Median peer was paid$126K

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
2018	26	$1K
2019	222	$10K
2020	100	$5K
2021	12	$478.32

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	75%	248	227	$12K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	20%	85	82	$3K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	5.3%	27	27	$864.72

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.