STATE OF SOUTH CAROLINA
NPI: 1205912318
· SPARTANBURG, SC 29307
· 251K00000X
$1.33M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16,379 |
$352K |
| 2019 |
15,863 |
$351K |
| 2020 |
10,241 |
$226K |
| 2021 |
7,497 |
$154K |
| 2022 |
5,061 |
$96K |
| 2023 |
3,225 |
$87K |
| 2024 |
3,199 |
$67K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
6,939 |
6,600 |
$477K |
| 90460 |
|
11,249 |
11,082 |
$204K |
| 99501 |
|
1,535 |
1,481 |
$138K |
| 99212 |
|
3,635 |
3,602 |
$100K |
| 90461 |
|
4,127 |
4,085 |
$85K |
| 99204 |
|
749 |
742 |
$78K |
| 99213 |
|
1,360 |
1,343 |
$62K |
| 99202 |
|
867 |
862 |
$41K |
| 99201 |
|
1,322 |
1,308 |
$36K |
| 81025 |
|
5,003 |
4,910 |
$32K |
| 11982 |
|
232 |
231 |
$24K |
| J1050 |
Medroxyprogesterone acetate |
1,831 |
1,810 |
$23K |
| 90716 |
|
707 |
702 |
$8K |
| 11981 |
|
72 |
71 |
$7K |
| Q0111 |
Wet mounts/ w preparations |
1,635 |
1,610 |
$5K |
| 90715 |
|
2,533 |
2,491 |
$3K |
| S4993 |
Contraceptive pills for bc |
245 |
243 |
$3K |
| 90651 |
|
2,214 |
2,183 |
$3K |
| 90734 |
|
1,689 |
1,669 |
$2K |
| 90686 |
|
2,636 |
2,614 |
$2K |
| 90707 |
|
290 |
288 |
$973.80 |
| 90674 |
|
33 |
33 |
$541.34 |
| 90471 |
|
141 |
140 |
$527.68 |
| 90670 |
|
1,132 |
1,129 |
$343.33 |
| J7303 |
Contraceptive vaginal ring |
16 |
16 |
$286.18 |
| 87591 |
|
13 |
13 |
$247.00 |
| 87491 |
|
13 |
13 |
$247.00 |
| J0696 |
Ceftriaxone sodium injection |
367 |
360 |
$213.37 |
| 90696 |
|
653 |
648 |
$0.00 |
| 90723 |
|
726 |
724 |
$0.00 |
| 90647 |
|
1,022 |
1,020 |
$0.00 |
| 90744 |
|
24 |
24 |
$0.00 |
| 90680 |
|
261 |
259 |
$0.00 |
| 90619 |
|
433 |
421 |
$0.00 |
| 90621 |
|
264 |
263 |
$0.00 |
| 90710 |
|
1,370 |
1,361 |
$0.00 |
| 90633 |
|
2,800 |
2,780 |
$0.00 |
| 90713 |
|
376 |
376 |
$0.00 |
| 90700 |
|
844 |
841 |
$0.00 |
| 90672 |
|
90 |
88 |
$0.00 |
| 90671 |
|
17 |
17 |
$0.00 |