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NPI 1902870736 · Sylva, NC · Internal Medicine Physician
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Clifford Mault is a internal medicine physician provider located in Sylva, North Carolina. This profile covers 22 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Clifford Mault |
| Address | 12 Grindstaff Cove Rd |
| City | Sylva |
| State | NC |
| ZIP | 28779 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | February 16, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $116.3K |
| Medicare | $97.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 640 | $80 | $51.4K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 150 | $120 | $18.4K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 30 | $210 | $6.9K |
| 99213 | The 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… | 110 | $40 | $4.4K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 450 | $10 | $4K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 100 | $40 | $3.8K |
| 94375 | The 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… | 90 | $30 | $2.1K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 90 | $20 | $1.6K |
| 99406 | The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes. | 50 | $10 | $760 |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 80 | $10 | $730 |
Showing 1–10 of 22
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
22 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 80061 | 1,153 | 1,180 | 110 | $10 | $17.4K |
| 99214 | 927 | 18,060 | 110 | $80 | $15.1K |
| G0439 | 696 | 4,160 | 60 | $120 | $10.5K |
| 99213 | 5,540 | 16,320 | 70 | $50 | $7.1K |
| 36415 | 1,850 | 3,490 | 90 | $10 | $6.4K |
| 99496 | 97 | 500 | 20 | $190 | $5K |
| 83036 | 1,014 | 2,740 | 60 | $10 | $4K |
| G0008 | 4,129 | 4,580 | 50 | $30 | $2.3K |
| 94375 | 22 | 110 | 30 | $20 | $2.2K |
| 99212 | 475 | 2,890 | 30 | $30 | $2.1K |
Showing 1–10 of 22
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 1,860 | $50 | $98.7K |
| 99213 | The 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… | 140 | $50 | $7.6K |
| 99199 | Use this code to report other medicine services or procedures for which there is no specific code available. | 870 | $10 | $5.2K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 250 | $10 | $2.5K |
| 99406 | The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes. | 190 | $10 | $1.5K |
| 82962 | Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained… | 310 | $1 | $310 |
| 81003 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will… | 270 | $1 | $270 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 20 | $10 | $100 |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99199 | Use this code to report other medicine services or procedures for which there is no specific code available. | 2,256 | 2,850 | 10,910 | $10 | $330.3K |
| 99214 | The 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… | 1,693 | 4,400 | 960 | $60 | $271.3K |
| 99213 | The 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… | 3,000 | 4,130 | 670 | $50 | $219.9K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 391 | 790 | 240 | $10 | $17.8K |
| 99406 | The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes. | 168 | 340 | 180 | $10 | $7.5K |
| 81003 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will… | 357 | 720 | 260 | $1 | $5.1K |
| 82962 | Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained… | 129 | 270 | 290 | $1 | $3.6K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 56 | 70 | 130 | $1 | $1.3K |
Other providers in the same ZIP code as Clifford Mault, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Smoky Mountain Center For Mh/dd/sas | NC | Health Maintenance Organization | $0 | $51.5M |
| Dlp Western Carolina Physician Practices LLC | NC | Internal Medicine Physician | $0 | $14M |
| Meridian Behavioral Health Services, Inc. | NC | Community/Behavioral Health Agency | $0 | $9.7M |
| Dlp Harris Regional Hospital LLC | NC | General Acute Care Hospital | $0 | $8.3M |
| Skyland House, LLC | NC | Adult Care Home Facility | $0 | $7.2M |
| John Buenting | NC | Otolaryngology Physician | $325.9K | $0 |
| Shawn Kosnik | NC | Otolaryngology Physician | $316.8K | $0 |
| Ofelia Balta | NC | Internal Medicine Physician | $270.2K | $0 |
| Roy Gallinger | NC | Family Medicine Physician | $259K | $0 |
| Leslie Norris | NC | Family Nurse Practitioner | $190.2K | $0 |
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