The Winston Clinic, P.A.

The Winston Clinic, P.A. was paid $533K by Medicaid between Jan 2018 and Mar 2022, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.

33Billing provider infoTHE WINSTON CLINIC, P.A.
SHERIDAN, AR 72150

33aNPI1396788667assigned 06/14/2006

33bProvider typePrimary Care Clinic/Center

28Total paid$533K

24GClaims18,508

24DCodes billed37

24AFirst – last monthJan 2018 – Mar 2022

Compared with peers

Next to other Primary Care Clinic/Center providers in Arkansas

Rank by total paid#14 of 64

Median peer was paid$92K

This provider vs. median5.8×

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	5,408	$159K
2019	6,064	$151K
2020	3,055	$81K
2021	3,129	$113K
2022	852	$29K

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	51%	4,802	4,414	$272K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	5,880	5,406	$182K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	3.5%	449	430	$19K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.4%	1,122	535	$13K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.4%	153	137	$7K
99406		1.4%	454	424	$7K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.3%	150	134	$7K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.2%	536	520	$6K
90688		1.1%	556	504	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	121	114	$3K
36415	Collection of venous blood by venipuncture	<1%	1,155	1,082	$2K
90756		<1%	99	98	$2K

25 more codes

87428		<1%	20	$1K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	27	$1K
82947		<1%	315	$840.73
71020		<1%	24	$714.46
71046	Radiologic examination, chest; 2 views	<1%	29	$671.83
90649		<1%	45	$430.20
0012A		<1%	26	$360.00
93000		<1%	12	$314.60
90734		<1%	31	$296.36
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	25	$289.86
90686		<1%	18	$278.10
0011A		<1%	16	$268.00
90633		<1%	28	$267.68
90658		<1%	18	$178.98
G0008	Administration of influenza virus vaccine	<1%	30	$143.12
90715		<1%	12	$114.72
81002		<1%	89	$88.65
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	0%	570	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	157	$0.00
3074F		0%	131	$0.00
3079F		0%	27	$0.00
3044F		0%	32	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	1,217	$0.00
3078F		0%	118	$0.00
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	14	$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 officialWINSTON, SCOTT (OWNER/PHYSICIAN)