STATE OF SOUTH CAROLINA
NPI: 1023191707
· GAFFNEY, SC 29341
· 251K00000X
$384K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,747 |
$116K |
| 2019 |
3,681 |
$106K |
| 2020 |
1,894 |
$50K |
| 2021 |
1,108 |
$30K |
| 2022 |
1,051 |
$34K |
| 2023 |
805 |
$26K |
| 2024 |
732 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
3,410 |
3,150 |
$237K |
| 99212 |
|
1,735 |
1,712 |
$48K |
| 90460 |
|
1,430 |
1,415 |
$24K |
| 99501 |
|
206 |
205 |
$19K |
| 81025 |
|
2,689 |
2,643 |
$18K |
| J1050 |
Medroxyprogesterone acetate |
809 |
802 |
$12K |
| 99201 |
|
269 |
268 |
$7K |
| 90461 |
|
330 |
326 |
$6K |
| 99204 |
|
38 |
36 |
$4K |
| Q0111 |
Wet mounts/ w preparations |
1,039 |
1,016 |
$3K |
| 99202 |
|
55 |
54 |
$3K |
| 99213 |
|
41 |
40 |
$2K |
| 90686 |
|
414 |
409 |
$114.94 |
| 90734 |
|
52 |
51 |
$111.84 |
| 90715 |
|
169 |
167 |
$35.12 |
| J0696 |
Ceftriaxone sodium injection |
17 |
17 |
$10.37 |
| 90633 |
|
93 |
91 |
$0.00 |
| 90710 |
|
58 |
58 |
$0.00 |
| 90670 |
|
17 |
17 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |
| 90651 |
|
78 |
77 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90723 |
|
28 |
28 |
$0.00 |
| 90647 |
|
14 |
14 |
$0.00 |