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

Providence Hospital, LLC

Providence Hospital, LLC was paid $12.68M by Medicaid between Jan 2018 and Aug 2021, across 194 billing codes. Its largest line is 80053, Comprehensive metabolic panel — 16% of everything it billed.

33Billing provider infoPROVIDENCE HOSPITAL, LLC
COLUMBIA, SC 29204
33aNPI1003811290assigned 06/15/2005
28Total paid$12.68M
24GClaims363,905
24DCodes billed194
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in South Carolina

Rank by total paid#1 of 38
Median peer was paid$106K
This provider vs. median120×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official TEAGUE, KATHY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
2018104,451$3.77M
2019118,334$4.18M
202087,375$2.88M
202153,745$1.85M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
80053 Comprehensive metabolic panel 16% 16,522 14,003 $1.99M
36415 Collection of venous blood by venipuncture 9.5% 9,122 6,015 $1.20M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.5% 18,326 16,391 $1.08M
80048 Basic metabolic panel (calcium, ionized) 6.4% 9,750 7,724 $808K
96361 Intravenous infusion, hydration; each additional hour 5.0% 3,547 3,023 $640K
81003 4.8% 18,551 16,460 $607K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4.8% 6,460 5,709 $607K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 4.0% 18,536 16,614 $508K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.7% 2,391 2,202 $465K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.1% 5,848 4,951 $261K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.9% 1,032 932 $240K
87430 1.9% 2,811 2,616 $236K
182 more codes
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.8% 1,594 $226K
84702 1.7% 1,466 $211K
71046 Radiologic examination, chest; 2 views 1.6% 5,066 $206K
87210 1.5% 1,970 $193K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1.4% 608 $174K
87899 1.4% 769 $172K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.4% 383 $171K
70450 Computed tomography, head or brain; without contrast material 1.1% 3,237 $145K
81025 1.1% 11,511 $140K
73130 1.1% 849 $137K
71045 Radiologic examination, chest; single view 1.0% 8,132 $129K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,840 $125K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,162 $120K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,389 $113K
73030 <1% 1,068 $111K
73630 <1% 1,167 $111K
73610 <1% 736 $108K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,326 $108K
73560 <1% 1,160 $93K
99285 Emergency room visit (most serious) <1% 14,669 $71K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 509 $69K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 8,473 $68K
72100 <1% 1,245 $64K
72040 <1% 456 $55K
73110 <1% 410 $55K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 602 $54K
87077 <1% 787 $45K
93458 <1% 630 $44K
10060 <1% 305 $40K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,719 $36K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 1,740 $33K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 22,294 $32K
93017 <1% 744 $31K
76377 <1% 543 $30K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 686 $28K
82962 <1% 343 $23K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,604 $23K
93970 <1% 209 $20K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 500 $20K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 11,919 $20K
72050 <1% 195 $18K
93971 <1% 596 $18K
73070 <1% 109 $18K
73502 <1% 335 $18K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,665 $17K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 2,870 $17K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 374 $16K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 300 $15K
29581 <1% 312 $14K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 431 $13K
12001 <1% 71 $12K
73562 <1% 101 $11K
86900 <1% 1,211 $11K
74019 <1% 357 $11K
C1769 Guide wire <1% 1,210 $9K
96376 <1% 1,075 $8K
88304 <1% 94 $7K
73140 <1% 27 $7K
84703 <1% 960 $7K
G0378 Hospital observation service, per hour <1% 1,730 $7K
72125 Computed tomography, cervical spine; without contrast material <1% 643 $7K
74018 <1% 220 $6K
73090 <1% 34 $6K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 31 $6K
12011 <1% 27 $5K
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,558 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 64 $5K
70486 <1% 128 $5K
99213 Doctor's office visit, returning patient (routine) <1% 85 $5K
84484 <1% 7,748 $5K
0001A <1% 127 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 55 $4K
85379 <1% 2,664 $4K
73590 <1% 67 $4K
85027 <1% 3,646 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 162 $4K
91300 <1% 167 $3K
81001 <1% 173 $3K
72072 <1% 79 $3K
83690 <1% 5,680 $3K
A9270 Non-covered item or service <1% 12,790 $3K
93880 <1% 15 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 522 $2K
71250 <1% 68 $2K
84443 Thyroid stimulating hormone (TSH) <1% 2,688 $2K
80061 Lipid panel <1% 1,427 $2K
93922 <1% 12 $2K
87420 <1% 179 $2K
94644 <1% 526 $2K
12002 <1% 18 $2K
85610 <1% 2,665 $1K
83735 <1% 5,214 $1K
85730 <1% 1,539 $1K
83880 <1% 2,051 $974.51
87070 <1% 45 $967.64
96375 Therapeutic injection; each additional sequential IV push <1% 3,852 $950.97
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,398 $873.04
87081 <1% 2,409 $856.12
76801 <1% 119 $831.28
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 5,668 $764.55
83036 Hemoglobin; glycosylated (A1C) <1% 1,218 $644.91
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 486 $629.55
82803 <1% 103 $533.66
84439 <1% 140 $489.90
76830 Ultrasound, transvaginal <1% 40 $488.88
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,457 $485.67
87631 <1% 33 $436.06
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 2,059 $432.49
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 322 $419.83
83605 <1% 1,037 $317.98
80076 <1% 412 $291.11
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 1,192 $223.78
82550 <1% 787 $221.98
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 4,145 $141.29
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 651 $128.32
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 5,865 $124.85
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 734 $120.00
82272 <1% 34 $116.18
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,519 $104.31
0002A <1% 124 $97.13
J7050 Infusion, normal saline solution, 250 cc <1% 1,848 $87.78
J1170 Injection, hydromorphone, up to 4 mg <1% 991 $77.96
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 199 $75.00
97162 <1% 16 $72.81
J1644 Injection, heparin sodium, per 1000 units <1% 1,605 $48.73
80074 <1% 32 $44.05
82043 <1% 14 $28.18
87040 <1% 644 $23.22
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 112 $21.82
J3010 Injection, fentanyl citrate, 0.1 mg <1% 3,031 $21.67
86901 <1% 1,212 $13.68
82570 <1% 117 $11.33
87186 <1% 803 $11.24
82607 <1% 49 $6.60
J0360 Injection, hydralazine hcl, up to 20 mg <1% 327 $4.59
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,072 $1.25
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,857 $0.23
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 1,798 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 289 $0.00
J2704 Injection, propofol, 10 mg 0% 1,615 $0.00
J3490 Unclassified drugs 0% 1,094 $0.00
G0379 Direct admission of patient for hospital observation care 0% 123 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 98 $0.00
85651 0% 50 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 223 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 0% 219 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 100 $0.00
88342 0% 45 $0.00
J2060 Injection, lorazepam, 2 mg 0% 632 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 0% 56 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 0% 29 $0.00
82150 0% 29 $0.00
86141 0% 30 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 143 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 14 $0.00
87205 0% 46 $0.00
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 0% 114 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 17 $0.00
82746 0% 25 $0.00
82728 0% 29 $0.00
J7510 Prednisolone oral, per 5 mg 0% 216 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 63 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 1,382 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 1,090 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 0% 244 $0.00
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 0% 40 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 710 $0.00
85045 0% 22 $0.00
84100 0% 201 $0.00
90715 0% 86 $0.00
84156 0% 13 $0.00
85347 0% 62 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 0% 82 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 59 $0.00
C1760 Closure device, vascular (implantable/insertable) 0% 44 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 78 $0.00
86038 0% 13 $0.00
36600 0% 13 $0.00
84550 0% 12 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 43 $0.00
83540 0% 12 $0.00
83970 0% 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.

From NPPES

Who's on the registration

Authorized officialTEAGUE, KATHY (ASSISTANT VICE PRESIDENT, SECRETARY)
Same official

Other billing entities under TEAGUE, KATHY

Full network →
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Logan Physician Practice LLCRussellville, KY$317K
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Rchp-Wilmington, LLCWilmington, OH$165K
Meadowview Physician Practice LLCMaysville, KY$140K
Amg-Southern Tennessee LLCMonteagle, TN$136K
Lake Cumberland Physician Practices LLCSomerset, KY$135K
Lake Cumberland Physician Practices LLCSomerset, KY$57K
Kershaw Hospital LLCLugoff, SC$49K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.