NP / PA
Hughes, Julie
Hughes, Julie was paid $281K by Medicaid between Jan 2018 and May 2020, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoHUGHES, JULIE
CHARLESTON, SC 29405
CHARLESTON, SC 29405
33aNPI1003238221assigned 01/07/2014
33bProvider typePediatric Nurse Practitioner
28Total paid$281K
24GClaims11,146
24DCodes billed28
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Pediatric Nurse Practitioner providers in South Carolina
Rank by total paid#5 of 39
Median peer was paid$7K
This provider vs. median41×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,619 | $115K | |
| 2019 | 5,479 | $138K | |
| 2020 | 1,048 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 1,421 | 1,307 | $61K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20% | 857 | 720 | $56K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 547 | 494 | $39K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 701 | 523 | $36K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 11% | 1,432 | 1,205 | $31K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.1% | 345 | 320 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.7% | 1,853 | 1,556 | $16K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.1% | 1,044 | 842 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 37 | 32 | $3K |
| 99177 | <1% | 160 | 137 | $936.19 | |
| 99173 | <1% | 171 | 156 | $893.10 | |
| 90474 | <1% | 129 | 121 | $799.06 |
16 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 31 | $776.75 |
| 96127 | <1% | 158 | $775.98 | |
| 96161 | <1% | 103 | $8.31 | |
| 90680 | 0% | 152 | $0.00 | |
| 90686 | 0% | 382 | $0.00 | |
| 90688 | 0% | 267 | $0.00 | |
| 90647 | 0% | 183 | $0.00 | |
| 90716 | 0% | 134 | $0.00 | |
| 90723 | 0% | 47 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 90633 | 0% | 113 | $0.00 | |
| 90707 | 0% | 126 | $0.00 | |
| 90685 | 0% | 208 | $0.00 | |
| 90670 | 0% | 497 | $0.00 | |
| 90461 | 0% | 21 | $0.00 | |
| 90648 | 0% | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.