Physician
Emery, James
Emery, James was paid $69K by Medicaid between Jul 2019 and Jan 2020, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoEMERY, JAMES
LEXINGTON, SC 29072
LEXINGTON, SC 29072
33aNPI1346447919assigned 06/28/2007
33bProvider typePediatrics Physician
28Total paid$69K
24GClaims1,428
24DCodes billed13
24AFirst – last monthJul 2019 – Jan 2020
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#120 of 471
Median peer was paid$18K
This provider vs. median3.9×
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 | 1,325 | $62K | |
| 2020 | 103 | $7K |
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 | 43% | 408 | 380 | $30K |
| 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 | 39% | 246 | 237 | $27K |
| 90461 | 3.9% | 116 | 115 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.7% | 192 | 190 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 16 | 16 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 14 | 14 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 14 | 14 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 64 | 29 | $867.84 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 45 | 45 | $622.39 |
| 81003 | <1% | 128 | 128 | $261.12 | |
| 85018 | <1% | 90 | 90 | $193.50 | |
| 90633 | 0% | 12 | 12 | $0.00 |
1 more codes
| 90686 | 0% | 83 | $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.