STATE OF SOUTH CAROLINA
NPI: 1073696662
· DILLON, SC 29536
· 251K00000X
$226K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,155 |
$62K |
| 2019 |
2,197 |
$56K |
| 2020 |
1,584 |
$44K |
| 2021 |
1,657 |
$48K |
| 2022 |
590 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,726 |
1,625 |
$121K |
| 99212 |
|
2,030 |
2,021 |
$56K |
| J1050 |
Medroxyprogesterone acetate |
1,444 |
1,440 |
$18K |
| 99213 |
|
244 |
240 |
$11K |
| 81025 |
|
1,360 |
1,340 |
$9K |
| 90460 |
|
526 |
523 |
$7K |
| 99202 |
|
43 |
43 |
$2K |
| 99201 |
|
51 |
51 |
$1K |
| Q0111 |
Wet mounts/ w preparations |
372 |
365 |
$1K |
| 90686 |
|
387 |
385 |
$0.00 |