Physician
West, Joseph
West, Joseph was paid $438K by Medicaid between Jan 2018 and Jul 2022, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoWEST, JOSEPH
POWDERSVILLE, SC 29673
POWDERSVILLE, SC 29673
33aNPI1861503146assigned 08/31/2006
33bProvider typePediatrics Physician
28Total paid$438K
24GClaims10,964
24DCodes billed32
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#67 of 471
Median peer was paid$18K
This provider vs. median25×
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 | 2,117 | $80K | |
| 2019 | 3,622 | $146K | |
| 2020 | 1,836 | $64K | |
| 2021 | 2,860 | $122K | |
| 2022 | 529 | $27K |
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 | 29% | 2,520 | 2,321 | $126K |
| 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% | 978 | 941 | $77K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 7.7% | 722 | 644 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.3% | 433 | 431 | $32K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.9% | 1,778 | 1,718 | $30K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 287 | 285 | $22K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 4.5% | 63 | 55 | $20K |
| 90461 | 4.0% | 947 | 921 | $17K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 174 | 174 | $14K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 2.7% | 146 | 129 | $12K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.5% | 128 | 64 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 145 | 144 | $9K |
20 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.6% | 369 | $7K |
| 92552 | 1.5% | 341 | $7K | |
| 86769 | <1% | 104 | $4K | |
| 86003 | <1% | 15 | $4K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 330 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 194 | $2K |
| 99177 | <1% | 537 | $2K | |
| 87634 | <1% | 32 | $2K | |
| 90672 | <1% | 63 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 451 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 13 | $504.00 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 13 | $380.75 |
| 90686 | <1% | 75 | $262.72 | |
| 87807 | <1% | 13 | $176.50 | |
| 80061 | Lipid panel | <1% | 16 | $170.76 |
| 80053 | Comprehensive metabolic panel | <1% | 17 | $145.62 |
| 83655 | <1% | 12 | $123.13 | |
| 81003 | <1% | 22 | $42.02 | |
| 90734 | <1% | 12 | $15.19 | |
| 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.