Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CAROLINA FAMILY CARE, INC

NPI: 1093076457 · FLORENCE, SC 29505 · Internal Medicine Physician · NPI assigned 06/01/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RAE, KARYN controls 20+ related entities in our dataset. Read more

$4.06M
Total Medicaid Paid
102,334
Total Claims
93,801
Beneficiaries
72
Codes Billed
2019-03
First Month
2023-06
Last Month

Provider Details

Authorized OfficialRAE, KARYN (DIRECTOR)
NPI Enumeration Date06/01/2012

Related Entities

Other providers sharing the same authorized official: RAE, KARYN

ProviderCityStateTotal Paid
MEDICAL UNIVERSITY HOSPITAL AUTHORITY CHARLESTON SC $241.43M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $56.50M
MEDICAL UNIVERSITY HOSPITAL AUTHORITY CHARLESTON SC $32.62M
MEDICAL UNIVERSITY HOSPITAL AUTHORITY CHARLESTON SC $12.42M
UNIVERSITY MEDICAL ASSOCIATES CHARLESTON SC $9.16M
CAROLINA FAMILY CARE, INC LANCASTER SC $6.87M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $6.15M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $5.38M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $3.58M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $3.53M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $3.34M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $2.80M
UNIVERSITY MEDICAL ASSOCIATE OF THE MEDICAL UNIVERSITY OF SOUTH CAROLI CHARLESTON SC $2.30M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.98M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.88M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.79M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.72M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.57M
CAROLINA FAMILY CARE, INC MT PLEASANT SC $1.31M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.02M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 38,200 $1.59M
2020 42,741 $1.63M
2021 19,100 $742K
2022 1,948 $89K
2023 345 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30,446 27,806 $1.48M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,468 22,610 $1.45M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,271 2,193 $205K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,935 1,885 $186K
90460 Immunization administration through 18 years of age via any route, first or only component 6,421 6,333 $113K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,394 1,341 $91K
90461 4,362 3,900 $78K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 698 682 $66K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 610 592 $64K
T1015 Clinic visit/encounter, all-inclusive 456 335 $48K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,501 1,730 $42K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,188 1,148 $37K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,725 2,583 $36K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 281 262 $29K
99442 1,093 1,045 $28K
99460 152 146 $13K
99241 319 317 $12K
36415 Collection of venous blood by venipuncture 6,880 6,457 $12K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 128 122 $6K
99238 Hospital discharge day management, 30 minutes or less 80 73 $5K
99308 Subsequent nursing facility care, per day, straightforward 357 338 $5K
96127 689 685 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument 481 473 $5K
99215 Prolong outpt/office vis 42 39 $4K
99462 147 95 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,004 814 $4K
80053 Comprehensive metabolic panel 560 495 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 619 558 $3K
81003 1,519 1,450 $3K
85018 1,327 1,287 $3K
90686 1,195 1,178 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 70 67 $3K
99443 78 75 $2K
99382 21 21 $2K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 262 251 $2K
99381 15 15 $1K
99232 Subsequent hospital care, per day, moderate complexity 47 26 $1K
99441 146 140 $1K
80061 Lipid panel 141 128 $1K
54150 14 14 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 95 90 $961.21
99490 Ccm add 20min 135 130 $933.86
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 81 80 $898.83
99334 69 68 $808.11
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 14 14 $700.00
87807 63 60 $653.23
99201 32 31 $562.08
90670 1,174 1,160 $548.79
87430 32 28 $398.36
81002 74 69 $202.00
90680 160 159 $188.00
90723 374 367 $184.00
J1040 Injection, methylprednisolone acetate, 80 mg 28 27 $167.94
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 14 $125.65
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 25 12 $91.31
99307 21 20 $53.06
82044 13 13 $47.25
87210 12 12 $43.56
83036 Hemoglobin; glycosylated (A1C) 13 13 $32.76
J1100 Injection, dexamethasone sodium phosphate, 1 mg 44 42 $10.09
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 14 13 $2.00
90734 101 98 $0.00
90633 416 409 $0.00
90715 152 150 $0.00
90707 44 41 $0.00
90685 14 14 $0.00
90710 28 28 $0.00
90647 335 328 $0.00
90651 209 205 $0.00
90698 290 289 $0.00
90716 74 67 $0.00
90744 41 41 $0.00