CLINT TROY PEARSON, MD
NPI 1659464113, individual, Crescent City, CA, Family Medicine
- Hours beyond a day in 1 month, but with up to 938 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
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 2020 | More hours than a day holds, even counting one unit per claim line | 24.3 | 0.7 | 0.5 | 0.6 | 930 | 1 | 99212 99213 99214 | $785 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CLINT TROY PEARSON, MD |
| Type | Individual |
| Status | Active |
| NPI issued | October 2, 2006, last updated December 9, 2011 |
| Practice location | 550 E WASHINGTON BLVD, Crescent City, CA 95531-8342, 707-465-6925 |
| Mailing address | 670 NINTH STREET, SUITE 203, Arcata, CA 95521 |
| Specialties | Family Medicine (207Q00000X, primary, license A63491 CA) |
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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| T1015 | Medicaid service code | $4.3M | 93% | $159 | $182 (top 5% from $488) | 40th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $115K | 2% | $6.15 | $44 (top 5% from $110) | 9th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $51K | 1% | $15 | $28 (top 5% from $147) | 28th percentile | |
| J3490 | Unclassified drugs | $34K | 1% | $55 | $4.55 (top 5% from $108) | 90th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $32K | 1% | $4.42 | $60 (top 5% from $133) | 5th percentile | |
| 96372 | Injection of drug or substance under skin or into muscle | $23K | 1% | $22 | $12 (top 5% from $49) | 85th percentile | |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | $14K | 0% | $19 | $2.30 (top 5% from $20) | 92nd percentile | |
| 83036 | Hemoglobin a1c level | $13K | 0% | $5.38 | $5.87 (top 5% from $14) | 46th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 188 | 108 | $2K | $15 | $10 | 1.6x | 3.5x (90th percentile 6.9x) |
| 85610 | Blood test, clotting time | 101 | 11 | $424 | $14 | $4 | 3.3x | 4.3x (90th percentile 10.3x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
2 providers in Del Norte County, CA carry an indicator in the public record, with $136K at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | SUTTER COAST HOSPITAL Crescent City, CA, ranked 5326 | $0 |
|
| 5 | PATRICIA LUTFY Crescent City, CA, ranked 11565 | $136K |
Recent enforcement in CA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.