NP / PA
Blanton, Heather
Blanton, Heather was paid $33K by Medicaid between Jul 2019 and Nov 2020, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoBLANTON, HEATHER
NORTH CHARLESTON, SC 29406
NORTH CHARLESTON, SC 29406
33aNPI1376889998assigned 12/31/2012
33bProvider typePediatric Nurse Practitioner
28Total paid$33K
24GClaims1,209
24DCodes billed20
24AFirst – last monthJul 2019 – Nov 2020
Compared with peers
Next to other Pediatric Nurse Practitioner providers in South Carolina
Rank by total paid#9 of 39
Median peer was paid$7K
This provider vs. median4.9×
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 | 1,185 | $32K | |
| 2020 | 24 | $595.81 |
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 | 30% | 178 | 173 | $10K |
| 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 | 24% | 98 | 93 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 61 | 61 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.0% | 38 | 38 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.4% | 28 | 28 | $2K |
| 90461 | 5.6% | 101 | 101 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.9% | 135 | 135 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 42 | 41 | $433.02 |
| 81000 | <1% | 116 | 114 | $293.67 | |
| 85018 | <1% | 154 | 154 | $250.92 | |
| 96160 | <1% | 16 | 16 | $104.16 | |
| 92551 | 0% | 119 | 119 | $0.00 |
8 more codes
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.