Physician
Pruitt, James
Pruitt, James was paid $53K by Medicaid between Jan 2019 and Jan 2020, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoPRUITT, JAMES
LEXINGTON, SC 29072
LEXINGTON, SC 29072
33aNPI1285693895assigned 03/22/2006
33bProvider typePediatrics Physician
28Total paid$53K
24GClaims975
24DCodes billed16
24AFirst – last monthJan 2019 – Jan 2020
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#134 of 471
Median peer was paid$18K
This provider vs. median3.0×
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 | 962 | $53K | |
| 2020 | 13 | $70.85 |
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 | 40% | 220 | 211 | $21K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 164 | 151 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 58 | 58 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.5% | 49 | 49 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.4% | 30 | 30 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 30 | 29 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.3% | 128 | 59 | $2K |
| 90461 | 2.8% | 58 | 58 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.0% | 84 | 84 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | 16 | $218.72 |
| 99051 | <1% | 19 | 19 | $216.00 | |
| 81002 | <1% | 64 | 59 | $179.95 |
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.