Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTH CAROLINA ENT ALLERGY & SLEEP MEDICINE PA

NPI: 1134153083 · LUGOFF, SC 29078 · Pediatric Otolaryngology Physician · NPI assigned 07/10/2006

$16.59M
Total Medicaid Paid
291,008
Total Claims
226,035
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKIRBY, PAMELA (CHIEF REVENUE OFFICER)
NPI Enumeration Date07/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37,838 $2.15M
2019 36,255 $2.10M
2020 35,583 $2.02M
2021 42,680 $2.59M
2022 50,460 $3.00M
2023 49,353 $2.74M
2024 38,839 $1.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 18,889 18,622 $4.34M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 50,100 46,619 $3.70M
99244 Office or other outpatient consultation, moderate to high complexity 9,113 8,951 $1.39M
31231 11,152 10,779 $1.30M
95117 121,943 71,097 $918K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8,199 7,997 $843K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,966 1,943 $807K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,842 12,297 $770K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,975 2,919 $548K
95782 712 703 $494K
95027 1,957 1,927 $299K
92587 8,477 8,245 $190K
92567 13,120 12,728 $151K
31575 2,571 2,452 $147K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,612 1,560 $133K
95115 18,425 10,836 $109K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,045 644 $103K
95024 707 693 $102K
42820 Tonsillectomy and adenoidectomy; younger than age 12 343 341 $76K
92557 1,675 1,637 $48K
94060 1,053 1,040 $37K
99243 286 280 $29K
69210 913 861 $25K
94010 185 183 $5K
99223 Prolong inpt eval add15 m 27 26 $4K
95811 12 12 $3K
99215 Prolong outpt/office vis 38 38 $3K
11000 86 65 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 183 168 $2K
31579 34 31 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 186 183 $2K
92504 88 66 $2K
76536 12 12 $781.74
92588 13 12 $677.60
70486 15 14 $650.60
94664 54 54 $481.10