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LOW COUNTRY HEALTH CARE SYSTEM, INC.
LOW COUNTRY HEALTH CARE SYSTEM, INC.
NPI: 1194288571
· AIKEN, SC 29801
· Federally Qualified Health Center (FQHC)
· NPI assigned 04/11/2019
$210K
Total Medicaid Paid
Provider Details
| Authorized Official | HUDSON, DARAINEY (CHIEF COMPLIANCE OFFICER) |
| Parent Organization | LOW COUNTRY HEALTH CARE SYSTEM, INC. |
| NPI Enumeration Date | 04/11/2019 |
Related Entities
Other providers sharing the same authorized official: HUDSON, DARAINEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
37 |
$2K |
| 2021 |
522 |
$36K |
| 2022 |
774 |
$53K |
| 2023 |
774 |
$87K |
| 2024 |
232 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
745 |
662 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
627 |
583 |
$79K |
| 80305 |
|
635 |
569 |
$6K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
43 |
42 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$2K |
| 99406 |
|
131 |
113 |
$1K |
| 81003 |
|
117 |
115 |
$35.20 |
| 85018 |
|
13 |
13 |
$1.48 |