Physician
Spence, Thomas
Spence, Thomas was paid $126K by Medicaid between Jul 2019 and Dec 2020, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoSPENCE, THOMAS
FLORENCE, SC 29506
FLORENCE, SC 29506
33aNPI1083687438assigned 02/08/2006
33bProvider typePediatrics Physician
28Total paid$126K
24GClaims2,856
24DCodes billed24
24AFirst – last monthJul 2019 – Dec 2020
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#90 of 471
Median peer was paid$18K
This provider vs. median7.2×
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 | |
|---|---|---|---|
| 2019 | 588 | $19K | |
| 2020 | 2,268 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 532 | 519 | $42K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 183 | 183 | $20K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 141 | 141 | $15K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 131 | 127 | $14K |
| 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 | 7.7% | 83 | 82 | $10K |
| 90461 | 6.5% | 271 | 271 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.3% | 73 | 73 | $8K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.1% | 459 | 459 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 52 | 52 | $1K |
| 80061 | Lipid panel | <1% | 24 | 24 | $320.40 |
| 85018 | <1% | 112 | 112 | $256.82 | |
| 96160 | <1% | 26 | 26 | $234.00 |
12 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $177.84 |
| 81003 | <1% | 64 | $138.08 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $98.16 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 59 | $17.77 |
| 90680 | 0% | 45 | $0.00 | |
| 90651 | 0% | 16 | $0.00 | |
| 90744 | 0% | 33 | $0.00 | |
| 90686 | 0% | 82 | $0.00 | |
| 90698 | 0% | 85 | $0.00 | |
| 92552 | 0% | 253 | $0.00 | |
| 90670 | 0% | 96 | $0.00 | |
| 90734 | 0% | 12 | $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.