Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST. JAMES HEALTH AND WELLNESS INC.

NPI: 1316345846 · GEORGETOWN, SC 29440 · Federally Qualified Health Center (FQHC) · NPI assigned 12/16/2014

$5.31M
Total Medicaid Paid
75,702
Total Claims
71,935
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGILLIARD, SANDRA (CEO)
NPI Enumeration Date12/16/2014

Related Entities

Other providers sharing the same authorized official: GILLIARD, SANDRA

ProviderCityStateTotal Paid
ST JAMES HEALTH AND WELLNESS INC ANDREWS SC $203K
ST JAMES HEALTH AND WELLNESS INC GEORGETOWN SC $138K
ST JAMES HEALTH AND WELLNESS INC GEORGETOWN SC $55K
ST JAMES HEALTH AND WELLNESS INC GEORGETOWN SC $26K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,432 $1.14M
2019 13,265 $1.16M
2020 9,290 $743K
2021 10,039 $585K
2022 11,404 $568K
2023 8,219 $508K
2024 8,053 $605K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,250 20,531 $3.04M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,408 3,241 $455K
T1015 Clinic visit/encounter, all-inclusive 3,273 2,497 $412K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,743 2,731 $383K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,431 2,425 $344K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,444 1,416 $200K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,066 1,015 $145K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 694 671 $104K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,649 2,605 $64K
90460 Immunization administration through 18 years of age via any route, first or only component 6,140 5,999 $57K
87428 708 693 $44K
99188 1,917 1,901 $21K
96160 1,383 1,350 $11K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 119 117 $6K
92551 6,614 6,532 $6K
87430 2,849 2,700 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,913 1,735 $3K
90461 1,863 1,826 $2K
96127 1,659 1,607 $2K
97802 252 252 $1K
90686 2,951 2,890 $1K
99051 88 79 $949.50
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 36 36 $700.00
90677 12 12 $509.95
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,160 1,132 $414.79
96110 Developmental screening, with scoring and documentation, per standardized instrument 312 303 $399.64
83036 Hemoglobin; glycosylated (A1C) 90 87 $187.31
90723 41 40 $180.00
90670 175 173 $166.28
85018 150 148 $54.71
90647 38 36 $49.44
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 28 $40.92
90472 Immunization administration, each additional vaccine (list separately) 26 25 $37.20
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 79 78 $30.41
81003 29 26 $13.58
99173 3,326 3,257 $13.20
80061 Lipid panel 61 57 $9.29
81005 100 100 $8.06
90715 55 55 $4.16
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 108 101 $0.00
90756 41 41 $0.00
83655 26 25 $0.00
90734 36 36 $0.00
90633 13 13 $0.00
G9153 Mapcp demonstration - physician incentive pool 965 952 $0.00
87449 150 134 $0.00
90651 83 82 $0.00
90716 13 12 $0.00
80053 Comprehensive metabolic panel 41 41 $0.00
87807 28 27 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 53 53 $0.00
87081 12 12 $0.00