University Medical Associates of the Medical University of South Carol
University Medical Associates of the Medical University of South Carol was paid $6.15M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
CHARLESTON, SC 29425
Next to other Pediatrics Physician providers in South Carolina
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 11,839 | $613K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 47,978 | 39,366 | $2.13M |
| 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 | 17% | 15,477 | 13,357 | $1.04M |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 15% | 15,407 | 14,635 | $916K |
| 76819 | Fetal biophysical profile; without non-stress testing | 9.7% | 12,367 | 10,447 | $594K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 8.1% | 4,837 | 4,722 | $501K |
| 76830 | Ultrasound, transvaginal | 2.4% | 2,866 | 2,817 | $148K |
| 59025 | Fetal non-stress test | 1.7% | 4,830 | 3,315 | $104K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.6% | 98 | 92 | $101K |
| 76820 | 1.4% | 3,007 | 2,409 | $84K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.3% | 1,078 | 1,058 | $81K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.1% | 1,538 | 1,385 | $67K |
| 76821 | 1.0% | 1,349 | 1,122 | $63K |
33 more codes
| 76857 | <1% | 1,957 | $51K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,754 | $50K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 565 | $37K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 456 | $36K |
| 59430 | <1% | 228 | $22K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,938 | $17K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 270 | $16K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 193 | $14K |
| 76801 | <1% | 208 | $13K | |
| 59514 | <1% | 14 | $12K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,535 | $9K |
| 81025 | <1% | 1,275 | $8K | |
| 11981 | <1% | 81 | $4K | |
| 76825 | <1% | 33 | $4K | |
| 76813 | <1% | 52 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 40 | $3K |
| 99283 | Emergency room visit (moderate) | <1% | 55 | $3K |
| 87210 | <1% | 602 | $2K | |
| 90686 | <1% | 151 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 25 | $2K |
| 90715 | <1% | 39 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 24 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 287 | $1K |
| 99243 | <1% | 12 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 29 | $975.35 |
| 0002A | <1% | 21 | $838.45 | |
| 99241 | <1% | 26 | $734.94 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 12 | $554.63 |
| 99078 | <1% | 18 | $541.20 | |
| 93325 | <1% | 35 | $367.02 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 12 | $288.00 |
| 81002 | <1% | 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) | 0% | 14 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.