Physician
Spartanburg Medical Center
Spartanburg Medical Center was paid $11.52M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 19% of everything it billed.
33Billing provider infoSPARTANBURG MEDICAL CENTER
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
33aNPI1093819492assigned 09/07/2006
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$11.52M
24GClaims160,931
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in South Carolina
Rank by total paid#1 of 11
Median peer was paid$6K
This provider vs. median1,997×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MEINKE, KENNETH controls 20+ related entities in our dataset. Read more
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 | 27,162 | $1.72M | |
| 2019 | 29,959 | $2.05M | |
| 2020 | 24,289 | $1.75M | |
| 2021 | 20,392 | $1.54M | |
| 2022 | 21,022 | $1.60M | |
| 2023 | 20,199 | $1.50M | |
| 2024incomplete | 17,908 | $1.37M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 19% | 24,751 | 22,452 | $2.21M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 33,774 | 28,023 | $1.99M |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 14% | 10,702 | 10,507 | $1.60M |
| 76819 | Fetal biophysical profile; without non-stress testing | 13% | 21,041 | 14,446 | $1.48M |
| 76825 | 9.0% | 5,102 | 4,861 | $1.04M | |
| 76820 | 6.9% | 20,970 | 15,172 | $801K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 5.0% | 7,783 | 6,336 | $572K |
| 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 | 4.6% | 6,165 | 5,794 | $531K |
| 76821 | 2.3% | 3,591 | 2,461 | $264K | |
| 93325 | 2.2% | 11,046 | 8,944 | $257K | |
| 76828 | 1.5% | 3,961 | 2,605 | $168K | |
| 99242 | 1.2% | 1,946 | 1,899 | $142K |
14 more codes
| 76818 | <1% | 1,243 | $110K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,481 | $94K |
| 76801 | <1% | 560 | $56K | |
| 99243 | <1% | 552 | $56K | |
| 76813 | <1% | 496 | $49K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,285 | $47K |
| 99241 | <1% | 848 | $33K | |
| 96160 | <1% | 498 | $7K | |
| 76827 | <1% | 105 | $5K | |
| 99201 | <1% | 182 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,270 | $5K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 41 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,525 | $4K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 13 | $2K |
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 officialMEINKE, KENNETH (CHIEF FINANCIAL OFFICER)
Parent organizationSPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC
| Provider | Location | Paid |
|---|---|---|
| Spartanburg Medical Center | Spartanburg, SC | $187.76M |
| Pelham Medical Center | Greer, SC | $13.82M |
| Spartanburg Medical Center | Drayton, SC | $8.86M |
| Spartanburg Medical Center | Spartanburg, SC | $4.17M |
| Spartanburg Medical Center | Spartanburg, SC | $3.72M |
| Spartanburg Medical Center | Spartanburg, SC | $1.94M |
| Spartanburg Medical Center | Boiling Springs, SC | $1.92M |
| Spartanburg Medical Center | Spartanburg, SC | $1.39M |
| Spartanburg Medical Center | Spartanburg, SC | $990K |
| Spartanburg Medical Center | Greenville, SC | $943K |
| Spartanburg Medical Center | Spartanburg, SC | $911K |
| Spartanburg Medical Center | Gaffney, SC | $785K |
| Spartanburg Medical Center | Spartanburg, SC | $726K |
| Spartanburg Medical Center | Spartanburg, SC | $680K |
| Spartanburg Medical Center | Inman, SC | $669K |
| Spartanburg Medical Center | Pacolet, SC | $462K |
| Spartanburg Medical Center | Landrum, SC | $446K |
| Spartanburg Medical Center | Spartanburg, SC | $413K |
| Spartanburg Medical Center | Spartanburg, SC | $325K |
| Spartanburg Medical Center | Duncan, SC | $281K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.