SOUTH CAROLINA PROVIDER SERVICES, LLC
NPI: 1003413469
· CLEMSON, SC 29631
· Adult Health Nurse Practitioner
· NPI assigned 10/07/2020
Provider Details
| Authorized Official | WILLIS, JASON (COO) |
| NPI Enumeration Date | 10/07/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
29 |
$201.84 |
| 2022 |
39 |
$623.73 |
| 2023 |
69 |
$748.84 |
| 2024 |
155 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
93 |
82 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
141 |
122 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
53 |
$590.88 |