Physician
Etheridge, John
Etheridge, John was paid $63K by Medicaid between Jan 2018 and May 2020, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoETHERIDGE, JOHN
CHARLESTON, SC 29406
CHARLESTON, SC 29406
33aNPI1861586414assigned 10/03/2006
33bProvider typePediatrics Physician
28Total paid$63K
24GClaims1,434
24DCodes billed19
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#125 of 471
Median peer was paid$18K
This provider vs. median3.5×
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 | 84 | $2K | |
| 2019 | 1,332 | $61K | |
| 2020 | 18 | $167.76 |
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 | 22% | 203 | 195 | $14K |
| 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 | 22% | 142 | 140 | $14K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 99 | 99 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 16% | 97 | 97 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10% | 56 | 56 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.3% | 310 | 308 | $4K |
| 90461 | 5.1% | 148 | 148 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 53 | 28 | $716.87 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | 12 | $559.13 |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | <1% | 18 | 15 | $167.76 |
| 99051 | <1% | 12 | 12 | $144.00 | |
| 83655 | <1% | 12 | 12 | $125.88 |
7 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.