Clifford, Jeanne

Clifford, Jeanne was paid $200K by Medicaid between Jan 2018 and Mar 2023, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoCLIFFORD, JEANNE
MEDFORD, MA 02155

33aNPI1740211200assigned 07/05/2006

33bProvider typePediatrics Physician

28Total paid$200K

24GClaims6,059

24DCodes billed20

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#285 of 1,273

Median peer was paid$24K

This provider vs. median8.4×

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	1,035	$30K
2019	860	$29K
2020	796	$23K
2021	1,239	$43K
2022	1,716	$61K
2023	413	$15K

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	44%	1,562	1,484	$88K
90460	Immunization administration through 18 years of age via any route, first or only component	19%	1,174	995	$37K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	14%	530	509	$27K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	5.6%	1,239	1,232	$11K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	3.7%	315	304	$7K
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	2.9%	61	60	$6K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.3%	56	56	$5K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.2%	437	437	$4K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.0%	43	43	$4K
96127		1.9%	364	364	$4K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	13	13	$1K
99188		<1%	38	38	$988.00

8 more codes

90461		<1%	27	$924.96
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	57	$803.76
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	66	$795.46
0072A		<1%	12	$550.56
0071A		<1%	12	$550.56
99173		<1%	27	$506.08
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	$414.15
99050		<1%	13	$215.28

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.