Hospital
Edgefield County Hospital
Edgefield County Hospital was paid $270K by Medicaid between Jan 2018 and Dec 2018, across 22 billing codes. Its largest line is 99282, Emergency department visit for the evaluation and management, low to moderate severity — 37% of everything it billed.
33Billing provider infoEDGEFIELD COUNTY HOSPITAL
EDGEFIELD, SC 29824
EDGEFIELD, SC 29824
33aNPI1023080439assigned 02/02/2006
33bProvider typeCritical Access Hospital
28Total paid$270K
24GClaims7,188
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Critical Access Hospital providers in South Carolina
Rank by total paid#6 of 7
Median peer was paid$997K
This provider vs. median0.3×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,188 | $270K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 37% | 851 | 798 | $101K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 21% | 2,135 | 2,009 | $58K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 7.6% | 175 | 161 | $21K |
| 36415 | Collection of venous blood by venipuncture | 6.8% | 479 | 406 | $18K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 6.6% | 172 | 161 | $18K |
| 84703 | 5.5% | 200 | 193 | $15K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 4.2% | 117 | 114 | $11K |
| 71046 | Radiologic examination, chest; 2 views | 2.6% | 298 | 261 | $7K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.3% | 192 | 55 | $6K |
| 81001 | 2.1% | 476 | 426 | $6K | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 444 | 396 | $2K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 49 | 40 | $2K |
10 more codes
| 80053 | Comprehensive metabolic panel | <1% | 434 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 541 | $902.49 |
| 82948 | <1% | 58 | $623.98 | |
| 99285 | Emergency room visit (most serious) | <1% | 66 | $531.40 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 174 | $467.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 21 | $113.24 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 161 | $0.00 |
| 84484 | 0% | 33 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 66 | $0.00 |
| 94760 | 0% | 46 | $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 officialSPROUSE, CARMEN (BILLING SPECIALIST)