STATE OF SOUTH CAROLINA
NPI: 1124102306
· CAMDEN, SC 29020
· 251K00000X
$269K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,549 |
$51K |
| 2019 |
1,838 |
$59K |
| 2020 |
1,097 |
$33K |
| 2021 |
1,335 |
$40K |
| 2022 |
1,321 |
$38K |
| 2023 |
808 |
$23K |
| 2024 |
769 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,450 |
2,331 |
$171K |
| 99212 |
|
1,456 |
1,452 |
$40K |
| J1050 |
Medroxyprogesterone acetate |
1,487 |
1,481 |
$16K |
| 81025 |
|
2,439 |
2,413 |
$16K |
| 99213 |
|
261 |
259 |
$12K |
| 99201 |
|
226 |
226 |
$6K |
| 99202 |
|
105 |
104 |
$5K |
| 90460 |
|
63 |
63 |
$920.53 |
| Q0111 |
Wet mounts/ w preparations |
208 |
205 |
$653.90 |
| 90686 |
|
22 |
22 |
$16.42 |