Physician
John R Clough
John R Clough was paid $576K by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoJOHN R CLOUGH
LIVINGSTON, TN 38570
LIVINGSTON, TN 38570
33aNPI1881870418assigned 01/14/2008
33bProvider typeFamily Medicine Physician
28Total paid$576K
24GClaims56,257
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#95 of 754
Median peer was paid$34K
This provider vs. median17×
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 | 8,571 | $64K | |
| 2019 | 7,497 | $80K | |
| 2020 | 6,705 | $67K | |
| 2021 | 11,844 | $93K | |
| 2022 | 13,065 | $114K | |
| 2023 | 5,802 | $101K | |
| 2024incomplete | 2,773 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 7,696 | 5,445 | $273K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 6,159 | 4,737 | $200K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 6.3% | 1,146 | 851 | $36K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.1% | 1,452 | 831 | $18K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.4% | 1,384 | 772 | $14K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.4% | 2,451 | 1,776 | $14K |
| 3008F | <1% | 6,588 | 4,855 | $5K | |
| 99490 | Ccm add 20min | <1% | 750 | 584 | $4K |
| 3078F | <1% | 3,000 | 2,300 | $3K | |
| 3074F | <1% | 3,540 | 2,665 | $3K | |
| 3079F | <1% | 1,298 | 976 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 87 | 77 | $955.81 |
36 more codes
| 3075F | <1% | 739 | $601.11 | |
| 81002 | <1% | 350 | $600.71 | |
| 96127 | <1% | 213 | $585.36 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 22 | $557.68 |
| 99173 | <1% | 93 | $534.02 | |
| 96160 | <1% | 47 | $469.44 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 42 | $430.90 |
| 90688 | <1% | 34 | $342.83 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $91.39 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 60 | $50.15 |
| 99080 | <1% | 1,717 | $50.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 18 | $23.25 |
| 3044F | <1% | 13 | $20.00 | |
| 3077F | <1% | 15 | $10.00 | |
| G8477 | Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg | 0% | 29 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,434 | $0.00 |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 1,524 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 29 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 14 | $0.00 |
| 99499 | 0% | 203 | $0.00 | |
| G9666 | Patient's highest fasting or direct ldl-c laboratory test result in the measurement period or two years prior to the beginning of the measurement period is 70-189 mg/dl | 0% | 41 | $0.00 |
| 3725F | 0% | 139 | $0.00 | |
| 3016F | 0% | 12 | $0.00 | |
| 1036F | 0% | 3,914 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,558 | $0.00 |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 949 | $0.00 |
| 1000F | 0% | 4,993 | $0.00 | |
| 3011F | 0% | 48 | $0.00 | |
| 1034F | 0% | 1,131 | $0.00 | |
| 4010F | 0% | 323 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 104 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 453 | $0.00 |
| G9459 | Currently a tobacco non-user | 0% | 240 | $0.00 |
| 4008F | 0% | 46 | $0.00 | |
| G9274 | Blood pressure has a systolic value of =140 and a diastolic value of = 90 or systolic value < 140 and diastolic value = 90 or systolic value = 140 and diastolic value < 90 | 0% | 29 | $0.00 |
| 3352F | 0% | 118 | $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 officialLEDBETTER, MINDY (OFFICE MANAGER)