Sayles, Michelle

Sayles, Michelle was paid $11K by Medicaid between Nov 2019 and May 2020, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoSAYLES, MICHELLE
INMAN, SC 29349

33aNPI1174975809assigned 07/06/2016

33bProvider typePediatrics Physician

28Total paid$11K

24GClaims186

24DCodes billed4

24AFirst – last monthNov 2019 – May 2020

Compared with peers

Next to other Pediatrics Physician providers in South Carolina

Rank by total paid#288 of 471

Median peer was paid$18K

This provider vs. median0.6×

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
2019	35	$2K
2020	151	$9K

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	75%	118	111	$8K
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	19%	20	18	$2K
90460	Immunization administration through 18 years of age via any route, first or only component	4.3%	34	34	$468.58
90461		1.9%	14	14	$205.69

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.