Carolina Geriatric Specialists, LLC
Carolina Geriatric Specialists, LLC was paid $243K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 81% of everything it billed.
33Billing provider infoCAROLINA GERIATRIC SPECIALISTS, LLC
SUMTER, SC 29150
SUMTER, SC 29150
33aNPI1124313101assigned 06/17/2011
33bProvider typeSpecialist
28Total paid$243K
24GClaims8,504
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in South Carolina
Rank by total paid#26 of 89
Median peer was paid$41K
This provider vs. median5.9×
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.
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 | 2,195 | $42K | |
| 2019 | 2,319 | $46K | |
| 2020 | 1,474 | $61K | |
| 2021 | 568 | $27K | |
| 2022 | 777 | $36K | |
| 2023 | 582 | $21K | |
| 2024incomplete | 589 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 81% | 6,731 | 5,314 | $197K |
| 99310 | Prolong nursin fac eval 15m | 14% | 989 | 750 | $33K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 5.2% | 743 | 627 | $13K |
| 99307 | <1% | 15 | 15 | $129.45 | |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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 | <1% | 26 | 26 | $120.20 |
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 officialDUBOSE, MACDONALD (OWNER)