Physician
Clanahan, James
Clanahan, James was paid $3K by Medicaid between Jan 2018 and Apr 2019, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoCLANAHAN, JAMES
SHILOH, IL 62269
SHILOH, IL 62269
33aNPI1770531956assigned 05/04/2006
33bProvider typeSurgery Physician
28Total paid$3K
24GClaims108
24DCodes billed3
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Surgery Physician providers in Illinois
Rank by total paid#249 of 422
Median peer was paid$5K
This provider vs. median0.6×
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 | 78 | $3K | |
| 2019 | 30 | $662.25 |
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 | 50% | 80 | 78 | $2K |
| 19083 | 39% | 13 | 13 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 15 | 15 | $363.75 |
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.