Clark Family Clinic, LLC

Clark Family Clinic, LLC was paid $21K by Medicaid between Jul 2018 and May 2019, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.

33Billing provider infoCLARK FAMILY CLINIC, LLC
BOLIVAR, TN 38008

33aNPI1801391719assigned 03/24/2018

33bProvider typePrimary Care Clinic/Center

28Total paid$21K

24GClaims1,016

24DCodes billed10

24AFirst – last monthJul 2018 – May 2019

Compared with peers

Next to other Primary Care Clinic/Center providers in Tennessee

Rank by total paid#98 of 139

Median peer was paid$101K

This provider vs. median0.2×

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	397	$5K
2019	619	$16K

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	58%	508	338	$12K
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	27%	144	107	$6K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	4.4%	81	60	$901.44
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.3%	18	13	$667.58
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	3.2%	20	15	$654.19
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.7%	99	59	$552.27
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.2%	22	13	$236.40
81002		<1%	14	12	$27.47
36415	Collection of venous blood by venipuncture	<1%	18	15	$23.45
99000		0%	92	50	$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 officialCLARK, CHARLENE (FAMILY NURSE PRACITITIONER)