Spartanburg Medical Center
Spartanburg Medical Center was paid $17K by Medicaid between Jan 2018 and Mar 2018, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
UNION, SC 29379
Next to other Obstetrics & Gynecology Physician providers in South Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 909 | $17K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 58% | 220 | 196 | $10K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 22% | 42 | 40 | $4K |
| 81025 | 7.0% | 170 | 160 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.0% | 12 | 12 | $664.40 |
| 81003 | 2.9% | 188 | 164 | $479.79 | |
| 85018 | 2.8% | 172 | 149 | $461.64 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 1.5% | 29 | 27 | $243.06 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 41 | 39 | $161.00 |
| 87210 | <1% | 35 | 32 | $140.91 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Spartanburg Medical Center | Spartanburg, SC | $187.76M |
| Pelham Medical Center | Greer, SC | $13.82M |
| Spartanburg Medical Center | Spartanburg, SC | $11.52M |
| Spartanburg Medical Center | Drayton, SC | $8.86M |
| Spartanburg Medical Center | Spartanburg, SC | $4.17M |
| Spartanburg Medical Center | Spartanburg, SC | $3.72M |
| Spartanburg Medical Center | Spartanburg, SC | $1.94M |
| Spartanburg Medical Center | Boiling Springs, SC | $1.92M |
| Spartanburg Medical Center | Spartanburg, SC | $1.39M |
| Spartanburg Medical Center | Spartanburg, SC | $990K |
| Spartanburg Medical Center | Greenville, SC | $943K |
| Spartanburg Medical Center | Spartanburg, SC | $911K |
| Spartanburg Medical Center | Gaffney, SC | $785K |
| Spartanburg Medical Center | Spartanburg, SC | $726K |
| Spartanburg Medical Center | Spartanburg, SC | $680K |
| Spartanburg Medical Center | Inman, SC | $669K |
| Spartanburg Medical Center | Pacolet, SC | $462K |
| Spartanburg Medical Center | Landrum, SC | $446K |
| Spartanburg Medical Center | Spartanburg, SC | $413K |
| Spartanburg Medical Center | Spartanburg, SC | $325K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.