Stalcup, Clay

Stalcup, Clay was paid $532K by Medicaid between Jun 2019 and Dec 2020, across 6 billing codes. Its largest line is H0016, Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) — 51% of everything it billed.

33Billing provider infoSTALCUP, CLAY
SEYMOUR, TN 37865

33aNPI1750389979assigned 07/12/2005

33bProvider typeFamily Medicine Physician

28Total paid$532K

24GClaims8,643

24DCodes billed6

24AFirst – last monthJun 2019 – Dec 2020

Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#101 of 754

Median peer was paid$34K

This provider vs. median16×

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
2019	2,533	$82K
2020	6,110	$450K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	51%	1,172	573	$272K
H2010	Comprehensive medication services, per 15 minutes	39%	3,109	1,067	$205K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	7.3%	776	512	$39K
80305		2.6%	3,186	1,254	$14K
81025		<1%	353	180	$1K
G2087	Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month	<1%	47	41	$261.76

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.