Medicaid Provider Spending

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

UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL

NPI: 1013934629 · CHARLESTON, SC 29425 · Pediatrics Physician · NPI assigned 07/17/2006

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

Authorized official RAE, KARYN controls 20+ related entities in our dataset. Read more

$6.15M
Total Medicaid Paid
125,805
Total Claims
108,584
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAE, KARYN (DIRECTOR)
NPI Enumeration Date07/17/2006

Related Entities

Other providers sharing the same authorized official: RAE, KARYN

ProviderCityStateTotal Paid
MEDICAL UNIVERSITY HOSPITAL AUTHORITY CHARLESTON SC $241.43M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $56.50M
MEDICAL UNIVERSITY HOSPITAL AUTHORITY CHARLESTON SC $32.62M
MEDICAL UNIVERSITY HOSPITAL AUTHORITY CHARLESTON SC $12.42M
UNIVERSITY MEDICAL ASSOCIATES CHARLESTON SC $9.16M
CAROLINA FAMILY CARE, INC LANCASTER SC $6.87M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $5.38M
CAROLINA FAMILY CARE, INC FLORENCE SC $4.06M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $3.58M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $3.53M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $3.34M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $2.80M
UNIVERSITY MEDICAL ASSOCIATE OF THE MEDICAL UNIVERSITY OF SOUTH CAROLI CHARLESTON SC $2.30M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.98M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.88M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.79M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.72M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.57M
CAROLINA FAMILY CARE, INC MT PLEASANT SC $1.31M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.02M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,965 $1.10M
2019 23,551 $1.13M
2020 15,314 $708K
2021 18,038 $920K
2022 16,715 $836K
2023 15,383 $842K
2024 11,839 $613K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47,978 39,366 $2.13M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,477 13,357 $1.04M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 15,407 14,635 $916K
76819 Fetal biophysical profile; without non-stress testing 12,367 10,447 $594K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 4,837 4,722 $501K
76830 Ultrasound, transvaginal 2,866 2,817 $148K
59025 Fetal non-stress test 4,830 3,315 $104K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 98 92 $101K
76820 3,007 2,409 $84K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,078 1,058 $81K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,538 1,385 $67K
76821 1,349 1,122 $63K
76857 1,957 1,926 $51K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,754 1,391 $50K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 565 553 $37K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 456 452 $36K
59430 228 225 $22K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,938 1,821 $17K
99232 Subsequent hospital care, per day, moderate complexity 270 132 $16K
99215 Prolong outpt/office vis 193 177 $14K
76801 208 204 $13K
59514 14 13 $12K
36415 Collection of venous blood by venipuncture 4,535 4,219 $9K
81025 1,275 1,234 $8K
11981 81 80 $4K
76825 33 27 $4K
76813 52 50 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 40 39 $3K
99283 Emergency department visit for the evaluation and management, moderate severity 55 51 $3K
87210 602 595 $2K
90686 151 148 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 24 $2K
90715 39 39 $2K
99238 Hospital discharge day management, 30 minutes or less 24 24 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 287 275 $1K
99243 12 12 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 29 14 $975.35
0002A 21 21 $838.45
99241 26 25 $734.94
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 12 12 $554.63
99078 18 13 $541.20
93325 35 26 $367.02
H0002 Behavioral health screening to determine eligibility for admission to treatment program 12 12 $288.00
81002 12 12 $37.06
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 14 13 $0.00