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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJeffrey Clarke
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    Jeffrey Clarke — Billing Profile & Reimbursement Data

    NPI 1629075494 · Paducah, KY · Pulmonary Disease Physician

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    Jeffrey Clarke is a pulmonary disease physician provider located in Paducah, Kentucky. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJeffrey Clarke
    Address1920 Broadway St
    CityPaducah
    StateKY
    ZIP42001
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedJuly 7, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$76.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…600$90$53.9K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.390$20$5.8K
    94727The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the…140$30$3.4K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…20$120$2.5K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…250$10$2K
    94010The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…170$10$2K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…260$10$1.8K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…20$70$1.6K
    94375The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…60$30$1.5K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…30$50$1.2K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144037,230110$70$14.1K
    992135,9977,25080$50$7.7K
    992042,1593,20030$100$4.8K
    906629471,27040$70$4.5K
    G00081,4661,91050$30$2K
    94729217060$20$1.6K
    94726415050$20$1.5K
    94375144050$20$1.2K
    9472744030$20$1K
    940101521040$10$870

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Jeffrey Clarke, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Peter LockenKYRadiation Oncology Physician$426K$0
    Sanjay BoseKYInterventional Cardiology Physician$296.5K$7.9K
    John MiglianoAZHematology & Oncology Physician$300.2K$0
    Robert LipsonAZUrology Physician$275.2K$0
    Griffin BickingKYVascular Surgery Physician$247.5K$0
    Harikrishnan Damodaran NairKYInterventional Cardiology Physician$234.8K$0
    William PorterINRadiation Oncology Physician$227.5K$0
    Darrell NewKYFamily Nurse Practitioner$44.7K$181.4K
    Vedran OrucKYClinical Cardiac Electrophysiology Physician$218.2K$0
    Rami JambeihKYPulmonary Disease Physician$216K$0

    Nearby Providers

    Other providers in the same ZIP code as Jeffrey Clarke, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Comprehensive Services, IncKYRehabilitation Hospital$0$47.8M
    Western Ky Regional Mhmr Board IncKYMental Health Clinic/Center (Including Community Mental Health Center)$0$39.3M
    Western Ky Regional Mhmr Board IncKYMental Health Clinic/Center (Including Community Mental Health Center)$0$29.1M
    Easter Seals West Kentucky, Inc.KYBehavior Analyst$0$17.8M
    Shelly BaerKYClinical Social Worker$105.8K$9.8M
    Emerald Therapy Center, LLCKYCommunity/Behavioral Health Agency$0$9.8M
    Easter Seals West KentuckyKYDevelopmentally Disabled Services Day Training Agency$0$8.1M
    Bhg Xxxiii, LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$124.1K$4.8M
    ArcareKYFederally Qualified Health Center (FQHC)$0$4.4M
    Legacy Oxygen And Home Care Equipment LLCKYOxygen Equipment & Supplies (DME)$0$4.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kentucky Distribution
    Jeffrey Clarke — 3 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky