Physician
Seyler, Clifford
Seyler, Clifford was paid $330K by Medicaid between Jan 2018 and Nov 2020, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoSEYLER, CLIFFORD
TULLAHOMA, TN 37388
TULLAHOMA, TN 37388
33aNPI1992809495assigned 09/13/2006
33bProvider typePediatrics Physician
28Total paid$330K
24GClaims12,614
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#131 of 333
Median peer was paid$139K
This provider vs. median2.4×
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 | 4,674 | $129K | |
| 2019 | 4,807 | $124K | |
| 2020 | 3,133 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 2,688 | 2,369 | $114K |
| 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 | 34% | 1,694 | 1,496 | $111K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.3% | 612 | 550 | $24K |
| 96127 | 6.9% | 4,278 | 2,890 | $23K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.8% | 393 | 362 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 186 | 162 | $13K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.3% | 265 | 260 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 51 | 50 | $4K |
| 92551 | 1.1% | 331 | 306 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 326 | 299 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 39 | 36 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 28 | 27 | $3K |
18 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 260 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 26 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 90 | $1K |
| 96160 | <1% | 35 | $832.92 | |
| 99177 | <1% | 420 | $828.48 | |
| 92588 | <1% | 13 | $769.92 | |
| 92558 | <1% | 99 | $459.12 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $434.41 |
| 96161 | <1% | 12 | $302.88 | |
| 90686 | <1% | 343 | $109.60 | |
| 85018 | <1% | 13 | $24.18 | |
| 90633 | 0% | 12 | $0.00 | |
| 90670 | 0% | 14 | $0.00 | |
| 36416 | 0% | 19 | $0.00 | |
| 3008F | 0% | 291 | $0.00 | |
| 90651 | 0% | 26 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 97802 | 0% | 23 | $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.