Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lindsey, James

Lindsey, James was paid $63K by Medicaid between Jul 2019 and Oct 2019, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoLINDSEY, JAMES
CONWAY, SC 29526
33aNPI1841291887assigned 08/01/2005
33bProvider typePediatrics Physician
28Total paid$63K
24GClaims1,209
24DCodes billed13
24AFirst – last monthJul 2019 – Oct 2019
Compared with peers

Next to other Pediatrics Physician providers in South Carolina

Rank by total paid#124 of 471
Median peer was paid$18K
This provider vs. median3.6×

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$10K$20K2018201920202021202220232024
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
20191,209$63K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44% 394 366 $28K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12% 74 73 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 9.5% 53 53 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.9% 42 42 $4K
90461 6.6% 93 93 $4K
97802 5.5% 144 143 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 5.0% 138 138 $3K
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 5.0% 31 31 $3K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 4.0% 143 142 $3K
87561 1.5% 31 31 $942.71
90686 0% 39 39 $0.00
90715 0% 13 13 $0.00
1 more codes
90734 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.