Physician
Clapper, Marc
Clapper, Marc was paid $91K by Medicaid between Sep 2020 and Dec 2024, across 5 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 83% of everything it billed.
33Billing provider infoCLAPPER, MARC
JOHNSTOWN, PA 15905
JOHNSTOWN, PA 15905
33aNPI1881711182assigned 03/23/2007
33bProvider typeGeneral Practice Physician
28Total paid$91K
24GClaims1,832
24DCodes billed5
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Pennsylvania
Rank by total paid#16 of 57
Median peer was paid$29K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2020 | 97 | $4K | |
| 2021 | 424 | $13K | |
| 2022 | 342 | $11K | |
| 2023 | 569 | $41K | |
| 2024incomplete | 400 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 83% | 1,373 | 1,336 | $75K |
| 88307 | 11% | 158 | 154 | $10K | |
| 88304 | 5.1% | 226 | 223 | $5K | |
| 88342 | 1.3% | 27 | 26 | $1K | |
| 88141 | <1% | 48 | 48 | $301.56 |
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.