Medicaid Provider Spending

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

THE CHILDREN'S CLINIC

NPI: 1184841942 · LANCASTER, SC 29720 · Clinic/Center · NPI assigned 04/20/2007

$8.40M
Total Medicaid Paid
207,571
Total Claims
194,785
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCRUZ, CARMINA (PEDIATRIC DOCTOR)
NPI Enumeration Date04/20/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35,539 $1.21M
2019 37,396 $1.33M
2020 29,819 $1.06M
2021 31,802 $1.26M
2022 27,209 $1.25M
2023 24,953 $1.20M
2024 20,853 $1.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 69,768 60,273 $4.63M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,106 5,736 $584K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,368 5,337 $536K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,637 4,536 $426K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,670 3,644 $371K
90460 Immunization administration through 18 years of age via any route, first or only component 17,138 16,797 $315K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 7,633 7,416 $313K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,598 2,580 $288K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11,864 11,513 $170K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,422 5,294 $154K
90461 5,890 5,838 $112K
G9153 Mapcp demonstration - physician incentive pool 2,856 2,845 $103K
99070 14,306 13,628 $92K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,769 2,716 $66K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,219 1,187 $50K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 528 521 $34K
81002 10,599 10,342 $32K
83655 2,104 2,090 $24K
87081 3,437 3,312 $20K
99051 1,648 1,614 $19K
85014 7,406 7,339 $16K
96110 Developmental screening, with scoring and documentation, per standardized instrument 921 887 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 75 75 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 444 414 $4K
99188 261 259 $4K
0072A 80 79 $3K
0071A 79 78 $3K
99441 165 164 $3K
0002A 49 49 $2K
0001A 47 47 $2K
99442 59 55 $2K
99383 15 15 $2K
81025 221 213 $2K
0003A 16 16 $640.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 21 21 $453.81
94760 243 217 $229.47
82947 12 12 $54.08
99072 680 590 $40.00
90656 1,528 1,508 $8.53
90744 581 580 $0.00
90698 1,690 1,669 $0.00
90677 225 219 $0.00
90696 370 366 $0.00
90716 1,408 1,389 $0.00
90620 107 105 $0.00
36416 32 30 $0.00
90707 1,409 1,400 $0.00
90734 970 964 $0.00
90670 2,492 2,466 $0.00
90633 3,104 3,072 $0.00
90649 1,167 1,156 $0.00
90681 1,196 1,183 $0.00
90715 372 369 $0.00
90648 173 170 $0.00
90655 155 153 $0.00
90700 225 224 $0.00
90621 13 13 $0.00