Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Bankston, Sheryl

Bankston, Sheryl was paid $16K by Medicaid between Oct 2019 and Mar 2020, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.

33Billing provider infoBANKSTON, SHERYL
SPARTANBURG, SC 29307
33aNPI1972859130assigned 07/25/2012
28Total paid$16K
24GClaims391
24DCodes billed4
24AFirst – last monthOct 2019 – Mar 2020
Compared with peers

Next to other Family Nurse Practitioner providers in South Carolina

Rank by total paid#42 of 207
Median peer was paid$3K
This provider vs. median6.4×

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

$0$2.0K$4.0K2018201920202021202220232024
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
2019118$6K
2020273$10K
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 81% 163 163 $13K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8.1% 128 64 $1K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.6% 16 16 $912.64
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5.3% 84 84 $866.04

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.