Clinic
ST. James Health and Wellness INC.
ST. James Health and Wellness INC. was paid $5.31M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoST. JAMES HEALTH AND WELLNESS INC.
GEORGETOWN, SC 29440
GEORGETOWN, SC 29440
33aNPI1316345846assigned 12/16/2014
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.31M
24GClaims75,702
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
Rank by total paid#14 of 85
Median peer was paid$746K
This provider vs. median7.1×
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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 8,053 | $605K |
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 | 57% | 22,250 | 20,531 | $3.04M |
| 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 | 8.6% | 3,408 | 3,241 | $455K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 7.8% | 3,273 | 2,497 | $412K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.2% | 2,743 | 2,731 | $383K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.5% | 2,431 | 2,425 | $344K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.8% | 1,444 | 1,416 | $200K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 1,066 | 1,015 | $145K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 694 | 671 | $104K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.2% | 2,649 | 2,605 | $64K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 6,140 | 5,999 | $57K |
| 87428 | <1% | 708 | 693 | $44K | |
| 99188 | <1% | 1,917 | 1,901 | $21K |
40 more codes
| 96160 | <1% | 1,383 | $11K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 119 | $6K |
| 92551 | <1% | 6,614 | $6K | |
| 87430 | <1% | 2,849 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,913 | $3K |
| 90461 | <1% | 1,863 | $2K | |
| 96127 | <1% | 1,659 | $2K | |
| 97802 | <1% | 252 | $1K | |
| 90686 | <1% | 2,951 | $1K | |
| 99051 | <1% | 88 | $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 | <1% | 36 | $700.00 |
| 90677 | <1% | 12 | $509.95 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,160 | $414.79 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 312 | $399.64 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 90 | $187.31 |
| 90723 | <1% | 41 | $180.00 | |
| 90670 | <1% | 175 | $166.28 | |
| 85018 | <1% | 150 | $54.71 | |
| 90647 | <1% | 38 | $49.44 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 29 | $40.92 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 26 | $37.20 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 79 | $30.41 |
| 81003 | <1% | 29 | $13.58 | |
| 99173 | <1% | 3,326 | $13.20 | |
| 80061 | Lipid panel | <1% | 61 | $9.29 |
| 81005 | <1% | 100 | $8.06 | |
| 90715 | <1% | 55 | $4.16 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 108 | $0.00 |
| 90756 | 0% | 41 | $0.00 | |
| 83655 | 0% | 26 | $0.00 | |
| 90734 | 0% | 36 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| G9153 | Mapcp demonstration - physician incentive pool | 0% | 965 | $0.00 |
| 87449 | 0% | 150 | $0.00 | |
| 90651 | 0% | 83 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 41 | $0.00 |
| 87807 | 0% | 28 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 53 | $0.00 |
| 87081 | 0% | 12 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialGILLIARD, SANDRA (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.