Physician
Clinton Medical Clinic, INC.
Clinton Medical Clinic, INC. was paid $17.30M by Medicaid between Jan 2018 and Dec 2024, across 87 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoCLINTON MEDICAL CLINIC, INC.
CLINTON, NC 28328
CLINTON, NC 28328
33aNPI1780629154assigned 06/18/2006
33bProvider typePediatrics Physician
28Total paid$17.30M
24GClaims900,345
24DCodes billed87
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#13 of 433
Median peer was paid$942K
This provider vs. median18×
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 | 60,743 | $1.59M | |
| 2019 | 57,261 | $1.75M | |
| 2020 | 44,354 | $1.44M | |
| 2021 | 123,711 | $2.55M | |
| 2022 | 199,116 | $3.43M | |
| 2023 | 200,171 | $3.46M | |
| 2024incomplete | 214,989 | $3.09M |
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 | 26% | 78,448 | 68,208 | $4.52M |
| 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 | 16% | 35,597 | 30,273 | $2.77M |
| 99199 | Unlisted special service, procedure or report | 15% | 424,112 | 241,130 | $2.59M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.6% | 11,557 | 9,499 | $964K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 10,653 | 9,493 | $925K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 9,291 | 8,230 | $834K |
| 87428 | 4.6% | 13,466 | 11,345 | $791K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.7% | 16,379 | 14,402 | $640K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.2% | 29,799 | 26,165 | $562K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 3,735 | 3,207 | $354K |
| D0145 | Oral evaluation for a patient under three years of age | 1.6% | 8,417 | 7,520 | $279K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 7,681 | 5,866 | $255K |
75 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 19,010 | $251K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 17,470 | $231K |
| 99401 | 1.2% | 7,451 | $211K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 16,496 | $151K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 4,379 | $143K |
| D1206 | Topical application of fluoride varnish | <1% | 8,408 | $123K |
| 92552 | <1% | 13,476 | $95K | |
| 90474 | <1% | 4,396 | $86K | |
| 99051 | <1% | 3,135 | $74K | |
| 80061 | Lipid panel | <1% | 3,890 | $57K |
| 96127 | <1% | 8,655 | $38K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,082 | $38K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,435 | $37K |
| 99490 | Ccm add 20min | <1% | 2,088 | $25K |
| 90651 | <1% | 1,005 | $25K | |
| 85018 | <1% | 14,053 | $24K | |
| 80053 | Comprehensive metabolic panel | <1% | 2,684 | $24K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,185 | $20K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,525 | $19K |
| 84439 | <1% | 1,867 | $17K | |
| 99381 | <1% | 158 | $15K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,197 | $15K |
| 99173 | <1% | 13,773 | $13K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 121 | $13K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 103 | $11K |
| 96161 | <1% | 4,024 | $11K | |
| 99442 | <1% | 236 | $10K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 590 | $8K |
| 99307 | <1% | 870 | $8K | |
| 90734 | <1% | 272 | $5K | |
| 90686 | <1% | 3,847 | $4K | |
| 90688 | <1% | 6,723 | $3K | |
| 87280 | <1% | 211 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 129 | $1K |
| 99382 | <1% | 14 | $1K | |
| 81002 | <1% | 742 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 448 | $1K |
| 85027 | <1% | 183 | $1K | |
| 82043 | <1% | 151 | $1K | |
| 82570 | <1% | 153 | $944.68 | |
| 90619 | <1% | 165 | $914.40 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 88 | $801.13 |
| 90656 | <1% | 933 | $622.51 | |
| 90715 | <1% | 71 | $527.85 | |
| 99441 | <1% | 13 | $353.93 | |
| 96380 | <1% | 16 | $274.24 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $231.42 |
| 90670 | <1% | 6,461 | $213.80 | |
| 97802 | <1% | 81 | $190.87 | |
| 90698 | <1% | 5,071 | $126.87 | |
| 98960 | <1% | 297 | $126.12 | |
| 86140 | <1% | 13 | $87.10 | |
| 90633 | <1% | 2,297 | $65.74 | |
| 80076 | <1% | 13 | $59.28 | |
| 1030F | <1% | 10,350 | $13.52 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 13,005 | $0.00 |
| 90680 | 0% | 4,435 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 5,648 | $0.00 |
| 90677 | 0% | 1,062 | $0.00 | |
| 3008F | 0% | 10,690 | $0.00 | |
| 90744 | 0% | 2,585 | $0.00 | |
| 90716 | 0% | 2,299 | $0.00 | |
| 3074F | 0% | 378 | $0.00 | |
| 90647 | 0% | 205 | $0.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 88 | $0.00 |
| 3079F | 0% | 31 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 7,019 | $0.00 |
| 90700 | 0% | 2,227 | $0.00 | |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 203 | $0.00 |
| 1003F | 0% | 1,441 | $0.00 | |
| 90713 | 0% | 298 | $0.00 | |
| 90707 | 0% | 2,293 | $0.00 | |
| 90687 | 0% | 151 | $0.00 | |
| 90685 | 0% | 425 | $0.00 | |
| 3078F | 0% | 209 | $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 officialROBINSON, MATTHEW (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Hawthorn Holistic Health LLC | Hamden, CT | $10K |
| CMC Geriatric Services | Clinton, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.