Physician
Saunders, John
Saunders, John was paid $18K by Medicaid between Jul 2019 and Sep 2020, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.
33Billing provider infoSAUNDERS, JOHN
LEXINGTON, SC 29072
LEXINGTON, SC 29072
33aNPI1235197286assigned 05/01/2006
33bProvider typeFamily Medicine Physician
28Total paid$18K
24GClaims314
24DCodes billed4
24AFirst – last monthJul 2019 – Sep 2020
Compared with peers
Next to other Family Medicine Physician providers in South Carolina
Rank by total paid#330 of 696
Median peer was paid$14K
This provider vs. median1.2×
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 | 274 | $15K | |
| 2020 | 40 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 86% | 187 | 183 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.8% | 17 | 17 | $1K |
| 99051 | 5.7% | 82 | 81 | $1K | |
| 81003 | <1% | 28 | 27 | $53.04 |
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.