North Berkeley Family Care, LLC

North Berkeley Family Care, LLC was paid $36K by Medicaid between Jan 2018 and Dec 2019, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.

33Billing provider infoNORTH BERKELEY FAMILY CARE, LLC
SAINT STEPHEN, SC 29479

33aNPI1073564027assigned 05/15/2006

33bProvider typeRural Health Clinic/Center

28Total paid$36K

24GClaims579

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Rural Health Clinic/Center providers in South Carolina

Rank by total paid#68 of 81

Median peer was paid$302K

This provider vs. median0.1×

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	386	$24K
2019	193	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	77%	360	332	$28K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	147	135	$8K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.1%	30	13	$384.40
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	14	14	$229.39
81002		<1%	28	27	$82.03

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 officialBROWN, SARAH (OWNER)