Physician
South Carolina Nephrology and Hypertension
South Carolina Nephrology and Hypertension was paid $469K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 42% of everything it billed.
33Billing provider infoSOUTH CAROLINA NEPHROLOGY AND HYPERTENSION
ORANGEBURG, SC 29118
ORANGEBURG, SC 29118
33aNPI1134219223assigned 10/13/2006
33bProvider typeNephrology Physician
28Total paid$469K
24GClaims22,296
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in South Carolina
Rank by total paid#2 of 23
Median peer was paid$89K
This provider vs. median5.3×
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 | 5,585 | $111K | |
| 2019 | 3,965 | $69K | |
| 2020 | 3,385 | $61K | |
| 2021 | 3,487 | $66K | |
| 2022 | 2,619 | $58K | |
| 2023 | 1,714 | $56K | |
| 2024incomplete | 1,541 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 42% | 7,900 | 7,847 | $196K |
| 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 | 25% | 3,924 | 3,821 | $116K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 2,382 | 1,035 | $57K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 3.3% | 1,009 | 479 | $16K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.3% | 430 | 214 | $15K |
| 99490 | Ccm add 20min | 3.2% | 596 | 585 | $15K |
| 99223 | Prolong inpt eval add15 m | 2.6% | 419 | 387 | $12K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 804 | 785 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 271 | 145 | $5K |
| 36902 | <1% | 52 | 52 | $3K | |
| 93923 | <1% | 233 | 119 | $3K | |
| 82570 | <1% | 1,388 | 1,340 | $3K |
16 more codes
| 76770 | <1% | 73 | $3K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 173 | $3K |
| 93922 | <1% | 146 | $2K | |
| 93975 | <1% | 31 | $2K | |
| 95923 | <1% | 207 | $2K | |
| 81003 | <1% | 1,564 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 29 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 55 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 75 | $1K |
| 95943 | <1% | 90 | $1K | |
| J1756 | Injection, iron sucrose, 1 mg | <1% | 94 | $1K |
| 95921 | <1% | 144 | $690.31 | |
| 90961 | <1% | 12 | $680.08 | |
| 99443 | <1% | 23 | $568.55 | |
| 90970 | <1% | 18 | $383.67 | |
| 85018 | <1% | 154 | $125.20 |
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 officialMOUSTAFA, MOUSTAFA (PRESIDENT)