Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Wilson, Esther

Wilson, Esther was paid $23K by Medicaid between Jul 2019 and Oct 2019, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoWILSON, ESTHER
SUMMERVILLE, SC 29485
33aNPI1023336054assigned 05/14/2010
33bProvider typePediatrics Physician
28Total paid$23K
24GClaims463
24DCodes billed8
24AFirst – last monthJul 2019 – Oct 2019
Compared with peers

Next to other Pediatrics Physician providers in South Carolina

Rank by total paid#203 of 471
Median peer was paid$18K
This provider vs. median1.3×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2019463$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41% 132 123 $9K
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 31% 67 66 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12% 26 26 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 6.2% 111 111 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.4% 12 12 $1K
90461 4.9% 53 53 $1K
85018 <1% 27 27 $55.35
90686 <1% 35 35 $16.42

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.