RAI CARE CENTERS OF SOUTH CAROLINA I, LLC
NPI: 1235148842
· SUMMERVILLE, SC 29485
· 261QE0700X
$134K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,216 |
$14K |
| 2019 |
3,559 |
$36K |
| 2020 |
2,791 |
$21K |
| 2021 |
169 |
$10K |
| 2022 |
744 |
$25K |
| 2023 |
846 |
$17K |
| 2024 |
2,046 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90935 |
|
2,218 |
1,207 |
$118K |
| J3490 |
Drugs unclassified injection |
669 |
285 |
$9K |
| J0887 |
Epoetin beta esrd use |
328 |
243 |
$3K |
| J1756 |
Iron sucrose injection |
255 |
158 |
$1K |
| A4657 |
Syringe w/wo needle |
960 |
492 |
$1K |
| 83970 |
|
285 |
269 |
$185.86 |
| 85018 |
|
789 |
703 |
$111.64 |
| 84466 |
|
416 |
412 |
$106.37 |
| 84520 |
|
1,282 |
733 |
$98.51 |
| 83540 |
|
750 |
690 |
$67.52 |
| 80051 |
|
407 |
399 |
$56.02 |
| 90688 |
|
14 |
13 |
$50.25 |
| 85027 |
|
431 |
427 |
$46.94 |
| 82728 |
|
237 |
229 |
$43.62 |
| 82310 |
|
431 |
422 |
$34.86 |
| 84155 |
|
503 |
495 |
$34.78 |
| 82040 |
|
412 |
404 |
$32.10 |
| 84100 |
|
442 |
433 |
$28.63 |
| 82565 |
|
411 |
403 |
$24.03 |
| G0307 |
Cbc without platelet |
12 |
12 |
$21.88 |
| 83735 |
|
145 |
143 |
$20.70 |
| 82746 |
|
28 |
28 |
$10.28 |
| 82108 |
|
42 |
42 |
$9.14 |
| 84075 |
|
147 |
145 |
$8.91 |
| 83550 |
|
229 |
183 |
$8.56 |
| 86706 |
|
40 |
40 |
$5.12 |
| 86803 |
|
14 |
14 |
$4.91 |
| 87340 |
|
166 |
134 |
$4.65 |
| 85049 |
|
12 |
12 |
$1.48 |
| 85025 |
|
101 |
64 |
$0.00 |
| 80069 |
|
168 |
124 |
$0.00 |
| G0008 |
Admin influenza virus vac |
27 |
26 |
$0.00 |