Physician
Spartanburg Medical Center
Spartanburg Medical Center was paid $2.94M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoSPARTANBURG MEDICAL CENTER
SPARTANBURG, SC 29301
SPARTANBURG, SC 29301
33aNPI1104867845assigned 06/10/2006
33bProvider typeOphthalmology Physician
28Total paid$2.94M
24GClaims57,352
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in South Carolina
Rank by total paid#3 of 64
Median peer was paid$15K
This provider vs. median192×
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 DAVIS, BRUCE 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 | 6,003 | $187K | |
| 2019 | 5,387 | $183K | |
| 2020 | 4,984 | $195K | |
| 2021 | 9,705 | $516K | |
| 2022 | 11,108 | $702K | |
| 2023 | 11,667 | $669K | |
| 2024incomplete | 8,498 | $484K |
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 | 50% | 23,513 | 21,277 | $1.46M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 11,193 | 9,182 | $318K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 3,203 | 2,909 | $307K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.0% | 2,612 | 2,537 | $265K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 8.0% | 1,657 | 1,604 | $234K |
| 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 | 6.2% | 1,966 | 1,880 | $181K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 695 | 679 | $69K |
| 90461 | 1.1% | 2,101 | 1,681 | $32K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,014 | 1,930 | $27K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,219 | 608 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 110 | 106 | $12K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 955 | 886 | $7K |
19 more codes
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 47 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 55 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 237 | $550.48 |
| 0071A | <1% | 12 | $480.00 | |
| 87807 | <1% | 29 | $363.92 | |
| 81003 | <1% | 133 | $327.82 | |
| 90686 | <1% | 1,503 | $207.44 | |
| 99051 | <1% | 15 | $198.96 | |
| 86738 | <1% | 16 | $174.11 | |
| 87081 | <1% | 12 | $90.76 | |
| 90670 | 0% | 1,129 | $0.00 | |
| 90633 | 0% | 200 | $0.00 | |
| 90681 | 0% | 17 | $0.00 | |
| 90680 | 0% | 542 | $0.00 | |
| 90647 | 0% | 661 | $0.00 | |
| 90688 | 0% | 312 | $0.00 | |
| 90677 | 0% | 250 | $0.00 | |
| 90723 | 0% | 808 | $0.00 | |
| 90656 | 0% | 136 | $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.
From NPPES
Who's on the registration
Authorized officialDAVIS, BRUCE (CHIEF FINANCIAL OFFICER)
Parent organizationSPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC
| Provider | Location | Paid |
|---|---|---|
| Spartanburg Medical Center | Spartanburg, SC | $17.13M |
| Union Medical Center | Union, SC | $10.73M |
| Spartanburg Medical Center | Inman, SC | $4.82M |
| Spartanburg Medical Center | Spartanburg, SC | $3.29M |
| Union Medical Center | Union, SC | $2.64M |
| Spartanburg Medical Center | Spartanburg, SC | $2.50M |
| Union Medical Center | Union, SC | $959K |
| Spartanburg Medical Center | Spartanburg, SC | $743K |
| Spartanburg Medical Center | Spartanburg, SC | $685K |
| Spartanburg Medical Center | Spartanburg, SC | $661K |
| Union Medical Center | Union, SC | $536K |
| Union Medical Center | Union, SC | $356K |
| Union Medical Center | Union, SC | $333K |
| Spartanburg Medical Center | Spartanburg, SC | $312K |
| Spartanburg Medical Center | Spartanburg, SC | $163K |
| Spartanburg Medical Center | Spartanburg, SC | $102K |
| Union Medical Center | Union, SC | $102K |
| Spartanburg Medical Center | Spartanburg, SC | $98K |
| Spartanburg Medical Center | Spartanburg, SC | $67K |
| Spartanburg Medical Center | Spartanburg, SC | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.