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

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.

33Billing provider infoUNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL
CHARLESTON, SC 29425
33aNPI1013934629assigned 07/17/2006
33bProvider typePediatrics Physician
28Total paid$6.15M
24GClaims125,805
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in South Carolina

Rank by total paid#21 of 471
Median peer was paid$18K
This provider vs. median348×

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 RAE, KARYN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
201824,965$1.10M
201923,551$1.13M
202015,314$708K
202118,038$920K
202216,715$836K
202315,383$842K
2024incomplete11,839$613K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialRAE, KARYN (DIRECTOR)
Same official

Other billing entities under RAE, KARYN

Full network →
ProviderLocationPaid
Medical University Hospital AuthorityCharleston, SC$241.43M
University Medical Associates of the Medical University of South CarolCharleston, SC$56.50M
Medical University Hospital AuthorityCharleston, SC$32.62M
Medical University Hospital AuthorityCharleston, SC$12.42M
University Medical AssociatesCharleston, SC$9.16M
Carolina Family Care, INCLancaster, SC$6.87M
University Medical Associates of the Medical University of South CarolCharleston, SC$5.38M
Carolina Family Care, INCFlorence, SC$4.06M
University Medical Associates of the Medical University of South CarolCharleston, SC$3.58M
University Medical Associates of the Medical University of South CarolCharleston, SC$3.53M
University Medical Associates of the Medical University of South CarolCharleston, SC$3.34M
University Medical Associates of the Medical University of South CarolCharleston, SC$2.80M
University Medical Associate of the Medical University of South CaroliCharleston, SC$2.30M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.98M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.88M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.79M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.72M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.57M
Carolina Family Care, INCMt Pleasant, SC$1.31M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.02M

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