Cleland, Jack

Cleland, Jack was paid $25K by Medicaid between Jul 2019 and Apr 2020, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoCLELAND, JACK
SPARTANBURG, SC 29303

33aNPI1912166315assigned 06/02/2008

33bProvider typePediatrics Physician

28Total paid$25K

24GClaims468

24DCodes billed7

24AFirst – last monthJul 2019 – Apr 2020

Compared with peers

Next to other Pediatrics Physician providers in South Carolina

Rank by total paid#194 of 471

Median peer was paid$18K

This provider vs. median1.4×

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
2019	296	$15K
2020	172	$10K

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	59%	246	232	$15K
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	34%	93	91	$9K
90460	Immunization administration through 18 years of age via any route, first or only component	3.0%	41	41	$767.85
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.7%	31	15	$426.00
99051		1.5%	32	32	$385.68
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	12	12	$99.26
90686		0%	13	13	$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.