NP / PA
Clever, William
Clever, William was paid $838K by Medicaid between Jan 2018 and Sep 2022, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoCLEVER, WILLIAM
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
33aNPI1982608758assigned 06/09/2005
33bProvider typeNurse Practitioner
28Total paid$838K
24GClaims40,823
24DCodes billed41
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Nurse Practitioner providers in Tennessee
Rank by total paid#12 of 212
Median peer was paid$17K
This provider vs. median50×
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 | 6,488 | $151K | |
| 2019 | 8,793 | $189K | |
| 2020 | 8,163 | $167K | |
| 2021 | 9,894 | $202K | |
| 2022 | 7,485 | $130K |
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 | 58% | 14,126 | 11,645 | $488K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 6,225 | 5,140 | $193K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.0% | 3,260 | 2,759 | $34K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 3.5% | 289 | 267 | $29K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 3.0% | 702 | 632 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 910 | 778 | $18K |
| 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 | 1.9% | 259 | 219 | $16K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 445 | 410 | $6K |
| 94010 | <1% | 419 | 382 | $5K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 739 | 634 | $3K |
| 99497 | <1% | 718 | 613 | $3K | |
| 99442 | <1% | 213 | 192 | $3K |
29 more codes
| 99443 | <1% | 124 | $2K | |
| 99406 | <1% | 482 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | $2K |
| 99496 | <1% | 13 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 158 | $1K |
| 3008F | <1% | 3,555 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 23 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $827.88 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 99 | $757.88 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,048 | $380.55 |
| 96127 | <1% | 188 | $372.53 | |
| G2061 | Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes | <1% | 61 | $293.41 |
| 93000 | <1% | 45 | $284.29 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,752 | $272.87 |
| G2062 | Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes | <1% | 18 | $105.15 |
| 90686 | <1% | 17 | $105.05 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 18 | $82.33 |
| 1159F | <1% | 830 | $70.00 | |
| 1160F | <1% | 813 | $50.00 | |
| 3075F | <1% | 226 | $30.00 | |
| 3079F | <1% | 398 | $20.00 | |
| 3077F | <1% | 138 | $20.00 | |
| 3078F | <1% | 610 | $20.00 | |
| 3074F | <1% | 536 | $10.00 | |
| 1125F | 0% | 515 | $0.00 | |
| 1170F | 0% | 709 | $0.00 | |
| 3044F | 0% | 71 | $0.00 | |
| 3080F | 0% | 19 | $0.00 | |
| 99397 | 0% | 14 | $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.