Physician
ST Jacques, Dwayne
ST Jacques, Dwayne was paid $407K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoST JACQUES, DWAYNE
PHOENIX, AZ 85044
PHOENIX, AZ 85044
33aNPI1508830803assigned 02/14/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$407K
24GClaims10,136
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Arizona
Rank by total paid#9 of 11
Median peer was paid$974K
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
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 | 1,349 | $53K | |
| 2019 | 2,110 | $62K | |
| 2020 | 1,972 | $64K | |
| 2021 | 1,661 | $76K | |
| 2022 | 1,476 | $76K | |
| 2023 | 1,003 | $47K | |
| 2024incomplete | 565 | $30K |
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 | 31% | 2,586 | 2,266 | $126K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 22% | 2,702 | 2,526 | $88K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 1,000 | 845 | $68K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 668 | 655 | $54K |
| 90461 | 10% | 1,123 | 1,021 | $41K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 164 | 161 | $13K |
| 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 | 1.9% | 107 | 99 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 57 | 57 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 108 | 99 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 54 | 43 | $1K |
| 96127 | <1% | 65 | 64 | $275.17 | |
| 99173 | <1% | 242 | 221 | $271.43 |
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.