Clarke, Mark

Clarke, Mark was paid $201K by Medicaid between Feb 2018 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.

33Billing provider infoCLARKE, MARK
SMITHFIELD, RI 02917

33aNPI1790850584assigned 11/21/2006

33bProvider typeFamily Nurse Practitioner

28Total paid$201K

24GClaims4,448

24DCodes billed8

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Rhode Island

Rank by total paid#30 of 266

Median peer was paid$31K

This provider vs. median6.5×

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	346	$15K
2019	274	$12K
2020	552	$26K
2021	803	$37K
2022	1,071	$49K
2023	862	$37K
2024incomplete	540	$25K

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	90%	3,915	3,198	$181K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	4.1%	81	75	$8K
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	1.9%	58	57	$4K
99442		1.6%	113	106	$3K
93000		1.0%	115	113	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	27	27	$2K
99443		<1%	35	30	$1K
81002		<1%	104	102	$241.35

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.