Clinic
Caresouth Carolina, INC
Caresouth Carolina, INC was paid $4.39M by Medicaid between Jan 2018 and Oct 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoCARESOUTH CAROLINA, INC
SOCIETY HILL, SC 29593
SOCIETY HILL, SC 29593
33aNPI1194763714assigned 06/04/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.39M
24GClaims36,514
24DCodes billed42
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
Rank by total paid#17 of 85
Median peer was paid$746K
This provider vs. median5.9×
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.
Entity ProliferationAuthorized official LEWIS, ANN controls 14+ related entities in our dataset. Read more
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 | 7,082 | $708K | |
| 2019 | 5,083 | $658K | |
| 2020 | 3,351 | $469K | |
| 2021 | 6,169 | $697K | |
| 2022 | 7,914 | $616K | |
| 2023 | 4,057 | $652K | |
| 2024incomplete | 2,858 | $594K |
Box 24 · Service lines
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 | 37% | 7,418 | 6,568 | $1.63M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 36% | 12,145 | 9,516 | $1.60M |
| 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 | 13% | 2,623 | 2,421 | $563K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.6% | 868 | 463 | $246K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.3% | 1,132 | 1,044 | $233K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.3% | 254 | 140 | $59K |
| 99490 | Ccm add 20min | 1.2% | 1,535 | 1,535 | $51K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,271 | 1,222 | $3K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 73 | 73 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 23 | 22 | $1K |
| 96127 | <1% | 2,099 | 1,909 | $942.40 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,146 | 1,093 | $871.74 |
30 more codes
| 82947 | <1% | 749 | $579.48 | |
| Q3014 | Telehealth originating site facility fee | <1% | 43 | $529.76 |
| 81025 | <1% | 329 | $482.40 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 529 | $371.00 |
| 81003 | <1% | 323 | $189.34 | |
| 82044 | <1% | 149 | $185.70 | |
| 82570 | <1% | 107 | $168.50 | |
| 90674 | <1% | 31 | $134.96 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $86.44 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 60 | $81.84 |
| 82948 | <1% | 100 | $80.28 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 14 | $57.80 |
| 90756 | <1% | 18 | $57.00 | |
| 85018 | <1% | 26 | $25.60 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | <1% | 213 | $0.08 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | <1% | 207 | $0.06 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 260 | $0.06 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 242 | $0.04 |
| 1159F | 0% | 612 | $0.00 | |
| 1160F | 0% | 497 | $0.00 | |
| 3078F | 0% | 28 | $0.00 | |
| 99307 | 0% | 45 | $0.00 | |
| 36416 | 0% | 276 | $0.00 | |
| 1126F | 0% | 243 | $0.00 | |
| 3008F | 0% | 128 | $0.00 | |
| 99000 | 0% | 552 | $0.00 | |
| 3074F | 0% | 13 | $0.00 | |
| 94760 | 0% | 17 | $0.00 | |
| 1125F | 0% | 49 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 53 | $0.00 |
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 officialLEWIS, ANN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Caresouth Carolina, INC. | Hartsville, SC | $12.35M |
| Caresouth Carolina INC | Bennettsville, SC | $7.29M |
| Caresouth Carolina, INC | Bishopville, SC | $3.19M |
| Caresouth Carolina, INC | Dillon, SC | $2.33M |
| Caresouth Carolina, INC | Chesterfield, SC | $2.28M |
| Caresouth Carolina INC | Latta, SC | $2.25M |
| Caresouth Carolina, INC | Bennettsville, SC | $1.82M |
| Caresouth Carolina, INC | Cheraw, SC | $1.72M |
| Caresouth Carolina INC | Society Hill, SC | $1.70M |
| Caresouth Carolina, INC. | Mc Coll, SC | $1.66M |
| Caresouth Carolina INC | Bennettsville, SC | $669K |
| Caresouth Carolina, INC. | Lake View, SC | $78K |
| Caresouth Carolina INC | Dillon, SC | $4K |
| Caresouth Carolina INC | Hartsville, SC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.