STATE OF SOUTH CAROLINA
NPI: 1144310152
· MONCKS CORNER, SC 29461
· 251K00000X
$195K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,100 |
$77K |
| 2019 |
2,214 |
$69K |
| 2020 |
853 |
$20K |
| 2021 |
322 |
$3K |
| 2022 |
362 |
$2K |
| 2023 |
827 |
$12K |
| 2024 |
450 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,364 |
1,286 |
$92K |
| H1001 |
Antepartum management |
192 |
114 |
$32K |
| 90460 |
|
2,022 |
1,993 |
$26K |
| 99212 |
|
437 |
426 |
$12K |
| 81025 |
|
1,513 |
1,463 |
$10K |
| 99213 |
|
166 |
161 |
$7K |
| J1050 |
Medroxyprogesterone acetate |
269 |
266 |
$7K |
| T1001 |
Nursing assessment/evaluatn |
19 |
12 |
$3K |
| 99201 |
|
97 |
93 |
$3K |
| 99204 |
|
13 |
13 |
$1K |
| Q0111 |
Wet mounts/ w preparations |
322 |
303 |
$1K |
| 99501 |
|
12 |
12 |
$937.40 |
| 90461 |
|
34 |
34 |
$743.99 |
| 99202 |
|
15 |
12 |
$497.70 |
| 90686 |
|
1,494 |
1,469 |
$32.84 |
| 90672 |
|
143 |
133 |
$0.00 |
| 90715 |
|
16 |
15 |
$0.00 |