Clinic
ST James Health and Wellness INC
ST James Health and Wellness INC was paid $1.46M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoST JAMES HEALTH AND WELLNESS INC
MC CLELLANVILLE, SC 29458
MC CLELLANVILLE, SC 29458
33aNPI1588618441assigned 05/22/2006
33bProvider typeClinic/Center
28Total paid$1.46M
24GClaims21,297
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in South Carolina
Rank by total paid#5 of 33
Median peer was paid$154K
This provider vs. median9.5×
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 | 335 | $25K | |
| 2019 | 423 | $47K | |
| 2020 | 1,376 | $153K | |
| 2021 | 4,385 | $262K | |
| 2022 | 4,201 | $221K | |
| 2023 | 7,521 | $520K | |
| 2024incomplete | 3,056 | $232K |
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 | 43% | 4,685 | 4,349 | $624K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 28% | 8,757 | 6,519 | $403K |
| 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 | 17% | 1,924 | 1,806 | $241K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 329 | 312 | $44K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 1.9% | 281 | 272 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 158 | 158 | $23K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 103 | 102 | $17K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 74 | 74 | $13K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 95 | 75 | $12K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 338 | 332 | $11K |
| 87428 | <1% | 178 | 176 | $11K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 74 | 69 | $9K |
34 more codes
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 194 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 75 | $4K |
| 0012A | <1% | 100 | $4K | |
| 96160 | <1% | 414 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 368 | $2K |
| 0011A | <1% | 70 | $2K | |
| 92551 | <1% | 546 | $2K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 25 | $1K |
| 87430 | <1% | 434 | $1K | |
| 0064A | <1% | 16 | $640.00 | |
| 90688 | <1% | 48 | $492.48 | |
| 96127 | <1% | 300 | $211.87 | |
| 97802 | <1% | 27 | $210.21 | |
| 99188 | <1% | 166 | $182.46 | |
| 90756 | <1% | 14 | $112.08 | |
| 81025 | <1% | 28 | $88.68 | |
| 81005 | <1% | 64 | $28.38 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 84 | $8.42 |
| 99173 | <1% | 317 | $5.72 | |
| 85018 | <1% | 14 | $2.65 | |
| G9153 | Mapcp demonstration - physician incentive pool | 0% | 233 | $0.00 |
| 91301 | 0% | 198 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 154 | $0.00 |
| 90686 | 0% | 80 | $0.00 | |
| 90651 | 0% | 22 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 17 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 18 | $0.00 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 14 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 91 | $0.00 |
| 80061 | Lipid panel | 0% | 41 | $0.00 |
| 90461 | 0% | 66 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 32 | $0.00 |
| 90734 | 0% | 17 | $0.00 | |
| 90715 | 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 officialGILLIARD, SANRDA (CEO)