STATE OF SOUTH CAROLINA
NPI: 1033295035
· GREENWOOD, SC 29646
· 251K00000X
$121K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,886 |
$46K |
| 2019 |
1,675 |
$42K |
| 2020 |
244 |
$6K |
| 2021 |
242 |
$9K |
| 2022 |
327 |
$14K |
| 2023 |
77 |
$3K |
| 2024 |
37 |
$664.56 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,204 |
1,155 |
$84K |
| 90460 |
|
943 |
926 |
$13K |
| 99212 |
|
306 |
305 |
$9K |
| 81025 |
|
916 |
906 |
$6K |
| 90461 |
|
153 |
152 |
$3K |
| 99202 |
|
42 |
41 |
$2K |
| 99501 |
|
14 |
14 |
$1K |
| 99201 |
|
38 |
38 |
$1K |
| J1050 |
Medroxyprogesterone acetate |
48 |
48 |
$827.92 |
| Q0111 |
Wet mounts/ w preparations |
257 |
254 |
$808.14 |
| 99213 |
|
12 |
12 |
$582.36 |
| 90715 |
|
46 |
46 |
$177.58 |
| 90686 |
|
479 |
465 |
$49.26 |
| 90651 |
|
16 |
16 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |