Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EDISTO REGIONAL HEALTH SERVICES, INC.

NPI: 1013060953 · HOLLY HILL, SC 29059 · Family Medicine Physician · NPI assigned 01/22/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MASON, CHERYL controls 13+ related entities in our dataset. Read more

$279K
Total Medicaid Paid
5,957
Total Claims
5,188
Beneficiaries
9
Codes Billed
2018-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialMASON, CHERYL (C.F.O.)
Parent OrganizationEDISTO REGIONAL HEALTH SERVICES, INC.
NPI Enumeration Date01/22/2007

Related Entities

Other providers sharing the same authorized official: MASON, CHERYL

ProviderCityStateTotal Paid
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $1.39M
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $635K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $412K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $338K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $324K
EDISTO REGIONAL HEALTH SERVICES INC. ORANGEBURG SC $320K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES BAMBERG SC $252K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $182K
EDISTO REGIONAL HEALTH SERVICES INC. BRANCHVILLE SC $72K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $27K
EDISTO REGIONAL HEALTH SERVICES INC DENMARK SC $6K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $2K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,787 $72K
2019 1,697 $85K
2020 1,253 $61K
2021 576 $29K
2022 494 $21K
2023 150 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 3,156 2,639 $164K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 986 950 $65K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,008 908 $47K
83036 Hemoglobin; glycosylated (A1C) 103 92 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 58 29 $710.46
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17 16 $65.58
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 378 331 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 17 16 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 234 207 $0.00