Providers
ROBERT ALLEN CLINTON, M.D.
NPI 1235222928, individual, Fayetteville, NC, Family Medicine
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 6 months, but with up to 3041 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 8842, $1.5M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 28.1 | 28.3 | 18.9 | 27.9 | 1436 | 1 | 99202 99203 99213 | $117K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 36.5 | 35.0 | 23.4 | 32.9 | 1481 | 2 | 99202 99203 99212 99213 | $149K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 65.2 | 68.8 | 45.8 | 62.5 | 2426 | 2 | 99202 99203 99213 | $279K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 37.7 | 40.9 | 27.2 | 40.2 | 1480 | 2 | 99203 99213 | $173K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 41.8 | 42.5 | 28.3 | 38.2 | 1895 | 2 | 99202 99203 99213 | $183K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 69.5 | 63.5 | 42.3 | 62.5 | 3041 | 2 | 99202 99203 99213 | $275K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ROBERT ALLEN CLINTON, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | October 2, 2006, last updated April 1, 2020 |
| Practice location | 420 OWEN DR, Fayetteville, NC 28304-3430, 910-484-1210 |
| Specialties | Dermatology (207N00000X, license 2005-00848 NC) Family Medicine (207Q00000X, primary, license 2005-00848 NC) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | $1.3M | 29% | $85 | $77 (top 5% from $218) | 66th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $1.1M | 24% | $99 | $67 (top 5% from $121) | 87th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $817K | 18% | $69 | $44 (top 5% from $110) | 81st percentile | |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | $710K | 15% | $42 | $32 (top 5% from $49) | 81st percentile | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within | $439K | 10% | $28 | $21 (top 5% from $38) | 81st percentile | |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $96K | 2% | $68 | $45 (top 5% from $138) | 81st percentile | |
| M0240 | Medicaid service code | $36K | 1% | $427 | too few months to rank | ||
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $35K | 1% | $91 | $60 (top 5% from $133) | 80th percentile |
In this area
7 providers in Cumberland County, NC carry an indicator in the public record, with $3.0M at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 3. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JOSEPH MEYER Fort Bragg, NC, ranked 48 | $26K |
|
| 3 | VILLAGE GREEN HEALTH AND REHABILITATION, LLC Fayetteville, NC, ranked 2992 | $0 |
|
| 3 | HAYMOUNT REHABILITATION AND NURSING CENTER, INC Fayetteville, NC, ranked 4247 | $0 |
|
| 3 | CUMBERLAND CARE, INC. Fayetteville, NC, ranked 4448 | $0 |
|
| 4 | SHENAE WHITEHEAD Fayetteville, NC, ranked 8189 | $977K |
|
| 4 | JOSHUA TRUJILLO Fayetteville, NC, ranked 9733 | $12K |
|
| 5 | VIPUL SAVALIYA Fayetteville, NC, ranked 9969 | $2.0M |
|
Recent enforcement in NC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedAug 27, 2026
Charlotte Woman Sentenced for Defrauding the North Carolina Medicaid Program
Jackson and her company submitted over $1.9 million in claims to NC Medicaid for urine drug testing and psychotherapy services that were never performed or already paid, using Medicaid recipients' personal information, and she spent the proceeds.
DOJPleaded guiltyJul 9, 2026
Guilford County Woman Pleads Guilty to Health Care Fraud in Connection with Million Dollar Urine Drug Testing Scheme
Singleton owned and operated Joelle's Center of Hope, which submitted approximately $1,735,865 in claims to North Carolina Medicaid for urine drug tests that were not performed, listing a nurse practitioner and a doctor as ordering providers who never ordered the tests.
DOJPleaded guiltyJun 24, 2026
Raleigh Man Pleads Guilty to Receiving More than $60 Million in Fraudulent Claims from Paying Kickbacks for Patient Referrals
Price owned and operated Golden Star Labs, which paid collectors on a per-specimen basis to supply bogus respiratory test samples obtained through identity theft, and billed Medi-Cal and Medicare more than $96 million in false claims, receiving more than $60 million, and he also filed a false federal income tax return.
DOJChargedJun 24, 2026
McLeansville Woman Charged With Health Care Fraud, Part of National Health Care Fraud Takedown
White, the owner of Reginald Center of Turn Around, billed North Carolina Medicaid for thousands of fictitious drug tests resulting in a loss of $2.8 million.
DOJIndictedJun 24, 2026
Felon Indicted in Multimillion Dollar Healthcare Kickback and False Documents Conspiracy
Ayyad is alleged to have solicited and received kickbacks from clinical laboratories in exchange for generating referrals, paid kickbacks to independent contractor sales reps, created dozens of sham invoices and contracts to conceal the payments, and caused the submission of fraudulent claims for laboratory testing to Medicare, HRSA, TRICARE, and other payers through labs and entities he owned and controlled.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.