Physician
Durant, James
Durant, James was paid $111K by Medicaid between Jul 2019 and Oct 2019, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoDURANT, JAMES
SUMTER, SC 29150
SUMTER, SC 29150
33aNPI1437159365assigned 07/21/2005
33bProvider typePediatrics Physician
28Total paid$111K
24GClaims2,407
24DCodes billed27
24AFirst – last monthJul 2019 – Oct 2019
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#96 of 471
Median peer was paid$18K
This provider vs. median6.3×
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 | 2,407 | $111K |
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 | 51% | 672 | 594 | $56K |
| 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 | 12% | 104 | 93 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.3% | 84 | 84 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.1% | 67 | 67 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.1% | 59 | 59 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.1% | 45 | 45 | $6K |
| 90461 | 2.9% | 112 | 112 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.2% | 163 | 163 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 116 | 113 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 151 | 142 | $1K |
| 81000 | <1% | 162 | 160 | $599.43 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 36 | 32 | $510.12 |
15 more codes
| 87430 | <1% | 30 | $407.30 | |
| 85018 | <1% | 164 | $388.68 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 37 | $169.95 |
| 96160 | <1% | 17 | $166.09 | |
| 83655 | <1% | 12 | $151.08 | |
| 99070 | <1% | 13 | $92.88 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 35 | $87.61 |
| 90670 | 0% | 52 | $0.00 | |
| 90633 | 0% | 29 | $0.00 | |
| 90700 | 0% | 19 | $0.00 | |
| 92551 | 0% | 132 | $0.00 | |
| 94760 | 0% | 47 | $0.00 | |
| 90698 | 0% | 25 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 90680 | 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.