Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SC › Georgetown › NPI 1447382692
Clinic

ST James Health and Wellness INC

ST James Health and Wellness INC was paid $55K by Medicaid between Jan 2018 and Mar 2021, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 66% of everything it billed.

33Billing provider infoST JAMES HEALTH AND WELLNESS INC
GEORGETOWN, SC 29440
33aNPI1447382692assigned 03/12/2007
33bProvider typeClinic/Center
28Total paid$55K
24GClaims1,073
24DCodes billed5
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers

Next to other Clinic/Center providers in South Carolina

Rank by total paid#21 of 33
Median peer was paid$154K
This provider vs. median0.4×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018724$30K
2019247$24K
202074$747.97
202128$144.27
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 66% 778 499 $36K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 205 158 $15K
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 6.0% 25 24 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 26 13 $664.60
G0467 Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 0% 39 37 $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 (CHIEF EXECUTIVE OFFICER)
Parent organizationST JAMES HEALTH AND WELLNESS INC
Same official

Other billing entities under GILLIARD, SANDRA

Full network →
ProviderLocationPaid
ST. James Health and Wellness INC.Georgetown, SC$5.31M
ST James Health and Wellness INCAndrews, SC$203K
ST James Health and Wellness INCGeorgetown, SC$138K
ST James Health and Wellness INCGeorgetown, SC$26K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.