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

Winbush, James

Winbush, James was paid $65K by Medicaid between Jan 2018 and Jun 2020, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.

33Billing provider infoWINBUSH, JAMES
ANDERSON, SC 29621
33aNPI1912008806assigned 09/26/2006
28Total paid$65K
24GClaims1,425
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers

Next to other Interventional Pain Medicine Physician providers in South Carolina

Rank by total paid#7 of 12
Median peer was paid$65K
This provider vs. median1.0×

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$5.0K$10K2018201920202021202220232024
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
20181,047$49K
2019151$7K
2020227$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 69% 841 725 $45K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 25% 231 212 $16K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.5% 91 84 $3K
20610 <1% 26 14 $473.96
36415 Collection of venous blood by venipuncture <1% 205 193 $300.70
J1020 Injection, methylprednisolone acetate, 20 mg <1% 14 13 $45.96
81002 <1% 17 14 $24.88

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.