Clifton, Stanley

Clifton, Stanley was paid $14K by Medicaid between Oct 2023 and Nov 2024, across 8 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 61% of everything it billed.

33Billing provider infoCLIFTON, STANLEY
HORSEHEADS, NY 14845

33aNPI1811341878assigned 04/15/2016

33bProvider typeInternal Medicine Physician

28Total paid$14K

24GClaims1,635

24DCodes billed8

24AFirst – last monthOct 2023 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#2,812 of 6,049

Median peer was paid$11K

This provider vs. median1.3×

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
2023	236	$63.72
2024incomplete	1,399	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	61%	685	622	$9K
99310	Prolong nursin fac eval 15m	15%	60	59	$2K
99490	Ccm add 20min	13%	372	372	$2K
99439		6.4%	264	264	$903.76
99308	Subsequent nursing facility care, per day, straightforward	3.9%	134	94	$552.61
99497		<1%	57	56	$61.70
3078F		0%	36	36	$0.00
3074F		0%	27	27	$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.