Active NPI 1154659894 Individual Practitioner Male Practitioner

Hollis Johnson Clark , PA-C

Physician Assistant • Herrin, IL

Professional Overview & Biography Verified Profile Summary

Hollis Clark, PA-C is a registered healthcare professional specializing in Physician Assistant in Herrin, IL. Practice services are available at 510 LINCOLN DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

510 Lincoln Dr

Herrin, IL 629486334

Telephone 6189976800

Fax 6189971187

Associated Practice Facility / Clinic

🏢 Southern Illinois Orthopedic Center,llc Facility NPI 1023001377

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Herrin, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.8 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

28 Specialists

Practicing in Herrin, IL (4958 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	28	$131.44	$47.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	15	$110.00	$58.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	91	19	$110.00	$59.93
99213 Established patient office or other outpatient visit, typically 15 minutes	66	51	$140.00	$59.33
20610 Aspiration and/or injection of fluid from large joint	46	36	$271.30	$45.93
J1040 Injection, methylprednisolone acetate, 80 mg	42	32	$50.00	$11.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$212.50	$113.61
73030 X-ray of shoulder, minimum of 2 views	19	13	$141.00	$25.21
99239 Hospital discharge day management, more than 30 minutes	16	16	$165.00	$88.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	302	182	$140.00	$58.79
20610 Aspiration and/or injection of fluid from large joint	240	108	$274.08	$45.09
J1040 Injection, methylprednisolone acetate, 80 mg	229	111	$50.00	$12.04
73030 X-ray of shoulder, minimum of 2 views	87	49	$142.62	$23.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$225.00	$87.08
73560 X-ray of knee, 1-2 views	47	34	$97.00	$25.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$200.00	$87.71
73564 X-ray of knee, 4 or more views	32	26	$132.00	$33.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$220.00	$113.10
73110 X-ray of wrist, minimum of 3 views	30	17	$170.00	$26.93
23472 Prosthetic repair of shoulder joint, total shoulder	29	28	$1180.00	$192.37
73502 X-ray of hip, 2-3 views	28	22	$142.00	$28.38
27447 Replacement of knee joint, both sides of knee	23	22	$1663.30	$179.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$325.00	$133.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	345	214	$122.14	$57.65
J1040 Injection, methylprednisolone acetate, 80 mg	180	89	$50.00	$12.94
20610 Aspiration and/or injection of fluid from large joint	179	89	$275.98	$45.41
73030 X-ray of shoulder, minimum of 2 views	96	61	$136.88	$21.55
73560 X-ray of knee, 1-2 views	65	39	$97.00	$23.34
73110 X-ray of wrist, minimum of 3 views	47	24	$170.00	$26.34
73502 X-ray of hip, 2-3 views	41	33	$131.27	$27.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$213.51	$85.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$220.00	$111.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$172.90	$85.90
73564 X-ray of knee, 4 or more views	31	27	$136.26	$32.42
73610 X-ray of ankle, minimum of 3 views	26	11	$155.00	$24.20
27447 Replacement of knee joint, both sides of knee	25	24	$1594.00	$176.66
27245 Treatment of broken neck of thigh bone with bone implant	21	21	$1360.00	$160.05
36415 Insertion of needle into vein for collection of blood sample	20	12	$19.00	$2.94
73562 X-ray of knee, 3 views	18	12	$114.00	$27.42
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	17	17	$791.00	$155.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$313.75	$131.78
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$183.00	$82.64
23472 Prosthetic repair of shoulder joint, total shoulder	14	14	$1707.29	$189.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	207	151	$105.00	$57.68
20610 Aspiration and/or injection of fluid from large joint	121	60	$262.15	$43.23
J1040 Injection, methylprednisolone acetate, 80 mg	96	57	$50.00	$11.07
73030 X-ray of shoulder, minimum of 2 views	79	51	$141.00	$21.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	56	$160.00	$84.20
73110 X-ray of wrist, minimum of 3 views	43	21	$170.00	$26.44
73502 X-ray of hip, 2-3 views	43	32	$125.00	$23.75
73560 X-ray of knee, 1-2 views	41	26	$97.00	$20.62
23472 Prosthetic repair of shoulder joint, total shoulder	31	31	$1067.95	$188.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$220.00	$111.05
27447 Replacement of knee joint, both sides of knee	26	25	$1594.00	$175.47
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	23	23	$791.00	$154.42
27245 Treatment of broken neck of thigh bone with bone implant	23	23	$1360.00	$158.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$176.35	$82.29
73564 X-ray of knee, 4 or more views	19	14	$128.00	$30.23
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	18	13	$50.00	$19.07
29075 Application of elbow to finger cast	15	11	$174.00	$65.55
73050 X-ray of both collar bones joints	13	13	$106.00	$27.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$310.00	$130.50

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY TC051

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

John Nugent , PA-C

Physician Assistant

NPI 1033224654

Physician Assistant (Certified)

Dr. John Davis , MD

Orthopaedic Surgery

NPI 1063436756

Doctor of Medicine (M.D.)

Dr. James Davis , MD

Orthopaedic Surgery

NPI 1063516797

Doctor of Medicine (M.D.)

Jared Jones

Physical Therapist

NPI 1093486011

Dr. John Wood , MD

Orthopaedic Surgery

NPI 1154425882

Doctor of Medicine (M.D.)

Pamela Hunter , PHYSICAL THERAPIST

Physical Therapist

NPI 1164537783

PHYSICALTHERAPIST

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active February 23, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2017

Registered at 510 LINCOLN DR, HERRIN, IL 629486334 (Tel: 6189976800)

📍

Updated Business Mailing Address February 23, 2017

Registered at 4787 ALBEN BARKLEY DR, SUITE 103, PADUCAH, KY 420016789 (Tel: 2704429461)

👤

Provider Name / Credentials Updated February 23, 2017

Recorded as HOLLIS CLARK, P.A.-C.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2017

Physician Assistant (License #TC051 in KY)

✅

NPI Profile Active November 18, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 18, 2009

Registered at 2605 KENTUCKY AVE, SUITE 103, PADUCAH, KY 420033800 (Tel: 2704429461)

📍

Updated Business Mailing Address November 18, 2009

Registered at 2605 KENTUCKY AVE, SUITE 103, PADUCAH, KY 420033800 (Tel: 2704429461)

👤

Provider Name / Credentials Updated November 18, 2009

Recorded as HOLLIS CLARK, P.A.-C.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2009

Physician Assistant (License #TC051 in KY)

🟢

Initial NPI Registration & Enumeration November 18, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Hollis Clark. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1154659894

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 18, 2009

Last Update: February 23, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4787 Alben Barkley Dr, Suite 103

Paducah, KY 420016789

Phone: 2704429461

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.