SPARTANBURG MEDICAL CENTER
NPI: 1104867845
· SPARTANBURG, SC 29301
· Ophthalmology Physician
· NPI assigned 06/10/2006
$2.94M
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, BRUCE (CHIEF FINANCIAL OFFICER) |
| Parent Organization | SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC |
| NPI Enumeration Date | 06/10/2006 |
Related Entities
Other providers sharing the same authorized official: DAVIS, BRUCE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
8,498 |
$484K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
23,513 |
21,277 |
$1.46M |
| 90460 |
|
11,193 |
9,182 |
$318K |
| 99391 |
|
3,203 |
2,909 |
$307K |
| 99392 |
|
2,612 |
2,537 |
$265K |
| 87636 |
|
1,657 |
1,604 |
$234K |
| 99214 |
|
1,966 |
1,880 |
$181K |
| 99393 |
|
695 |
679 |
$69K |
| 90461 |
|
2,101 |
1,681 |
$32K |
| 87880 |
|
2,014 |
1,930 |
$27K |
| 87804 |
|
1,219 |
608 |
$17K |
| 99394 |
|
110 |
106 |
$12K |
| 85025 |
|
955 |
886 |
$7K |
| 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 |
47 |
46 |
$5K |
| 99212 |
|
55 |
51 |
$2K |
| 36415 |
|
237 |
230 |
$550.48 |
| 0071A |
|
12 |
12 |
$480.00 |
| 87807 |
|
29 |
29 |
$363.92 |
| 81003 |
|
133 |
127 |
$327.82 |
| 90686 |
|
1,503 |
1,464 |
$207.44 |
| 99051 |
|
15 |
14 |
$198.96 |
| 86738 |
|
16 |
16 |
$174.11 |
| 87081 |
|
12 |
12 |
$90.76 |
| 90670 |
|
1,129 |
1,066 |
$0.00 |
| 90633 |
|
200 |
188 |
$0.00 |
| 90681 |
|
17 |
16 |
$0.00 |
| 90680 |
|
542 |
507 |
$0.00 |
| 90647 |
|
661 |
615 |
$0.00 |
| 90688 |
|
312 |
304 |
$0.00 |
| 90677 |
|
250 |
222 |
$0.00 |
| 90723 |
|
808 |
752 |
$0.00 |
| 90656 |
|
136 |
131 |
$0.00 |