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

Pollock, Karen

Pollock, Karen was paid $273K by Medicaid between Jan 2018 and Aug 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.

33Billing provider infoPOLLOCK, KAREN
IRMO, SC 29063
33aNPI1023162286assigned 01/23/2007
28Total paid$273K
24GClaims4,333
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in South Carolina

Rank by total paid#11 of 24
Median peer was paid$76K
This provider vs. median3.6×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
2018150$9K
2019765$50K
2020141$10K
2021702$47K
2022962$58K
20231,184$71K
2024incomplete429$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 49% 1,343 1,166 $133K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34% 1,374 1,228 $93K
90460 Immunization administration through 18 years of age via any route, first or only component 6.1% 539 534 $17K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4.1% 229 207 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.0% 350 159 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.5% 40 40 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.0% 26 26 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 173 157 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 17 17 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 12 12 $1K
90461 <1% 51 50 $987.63
96127 <1% 15 15 $106.65
2 more codes
85018 <1% 15 $31.95
90686 0% 149 $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.