Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Jamestown › NPI 1962406793
Physician

Clark, Richard

Clark, Richard was paid $185K by Medicaid between Dec 2018 and Nov 2020, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 88% of everything it billed.

33Billing provider infoCLARK, RICHARD
JAMESTOWN, TN 38556
33aNPI1962406793assigned 06/09/2005
28Total paid$185K
24GClaims9,465
24DCodes billed25
24AFirst – last monthDec 2018 – Nov 2020
Compared with peers

Next to other Emergency Medicine Physician providers in Tennessee

Rank by total paid#68 of 332
Median peer was paid$56K
This provider vs. median3.3×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018233$2K
20195,974$118K
20203,258$65K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 88% 6,665 5,794 $163K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.2% 881 846 $15K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 516 513 $1K
71046 Radiologic examination, chest; 2 views <1% 151 132 $1K
72110 <1% 85 81 $1K
90756 <1% 118 109 $874.38
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 200 127 $868.65
93000 <1% 79 68 $533.45
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 66 54 $246.70
G0008 Administration of influenza virus vaccine <1% 102 98 $238.23
72070 <1% 37 36 $237.33
90674 <1% 24 24 $198.79
13 more codes
72050 <1% 20 $178.20
99497 <1% 137 $117.04
80305 <1% 96 $106.97
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 15 $80.40
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 27 $57.86
99406 <1% 46 $50.91
Q3014 Telehealth originating site facility fee <1% 23 $8.31
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 12 $6.37
36415 Collection of venous blood by venipuncture <1% 36 $5.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 13 $1.84
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 44 $1.53
G0444 Annual depression screening, 5 to 15 minutes <1% 42 $0.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 30 $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.